Individual
MRS. LUZ LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
CALLE CRISTOBAL COLON 52, STE 4, YABUCOA, PR 00767-0069
(787) 893-1580
Mailing address
VILLA HILDA, D-2, YABUCOA, PR 00767-3340
(787) 893-1580
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
6149
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7670024
HUMANA
PR
Enumeration date
12/20/2005
Last updated
02/19/2013
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