Individual
MRS. TANYA I LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
126 CALLE PAVIA FERNANDEZ, SAN SEBASTIAN, PR 00685-2285
(787) 436-5646
(787) 280-1335
Mailing address
AVE. RICARDO SERRANO #15, SAN SEBASTIAN, PR 00685
(787) 486-5646
(787) 280-1335
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
15041
PR
Other
Enumeration date
06/08/2006
Last updated
01/15/2017
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