Individual
ELIAS SAMUEL LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
704 CALLE MONSERRATE, SAN JUAN, PR 00907-4511
(787) 724-4051
Mailing address
PO BOX 3382, RIO GRANDE, PR 00745-3382
(787) 988-5349
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
12849
PR
Other
Enumeration date
11/19/2015
Last updated
11/19/2015
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