Individual
BENJAMIN LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
CARR 2 KM 157, BO SABALOS CENTRO MEDICO MAYAGUEZ, MAYAGUEZ, PR 00680
(787) 763-7575
Mailing address
CARR NO. 2 KM 8.2 BO. JUAN SANCHEZ, ANTIGUO MEPSI CENTER, BAYAMON, PR 00960-7087
(787) 763-7575
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
5686
PR
Other
Enumeration date
11/09/2016
Last updated
11/09/2016
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