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Individual

MISS MARIBEL ROSARIO LOPEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
CALLE CALIFORNIA B10, QUEBRADILLAS, PR 00678
(787) 895-6125
(787) 895-6125
Mailing address
PO BOX 3893, AGUADILLA, PR 00605-3893
(787) 895-6125
(787) 895-6125

Taxonomy

Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
9410
PR
208D00000X
General Practice Physician
Primary
9410
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
81840R0
SSS
PR
Enumeration date
10/17/2005
Last updated
08/13/2013
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