Individual
MIGUEL A LASALLE LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
55 E DE DIEGO ST SUITE 105, CPR PROFESSIONAL BLDG, MAYAGUEZ, PR 00680
(787) 833-2155
(787) 833-2680
Mailing address
PO BOX 6428, MAYAGUEZ, PR 00681-6428
(787) 833-2155
(787) 833-2680
Taxonomy
Speciality
Code
Description
License number
State
207YX0901X
Otology & Neurotology Physician
Primary
11064
PR
Other
Enumeration date
02/20/2007
Last updated
06/13/2011
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