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Organization

NLA ENDO SERVICES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. NICOLAS LOPEZ ACEVEDO MD, FACS, FASCRS (COLON AND RECTAL SURGEON)
(787) 724-9595
Entity
Organization

Contact information

Practice address
400 F.D. ROOSEVELT AVE., SUITE 202, SAN JUAN, PR 00918
(787) 724-9595
Mailing address
400 F.D. ROOSEVELT AVE., SUITE 202, SAN JUAN, PR 00918
(787) 724-9595

Taxonomy

Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary

Other

Enumeration date
02/23/2022
Last updated
02/23/2022
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