Individual
DR. OCTAVIO JORDAN LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
EDIF MEDICO SANTA CRUZ, SUITE 313, BAYAMON, PR 00961-6910
(787) 780-7832
(787) 798-1445
Mailing address
73 CALLE SANTA CRUZ STE 311, BAYAMON, PR 00961-6919
(787) 780-7832
(787) 230-1253
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
3658
PR
207RG0100X
Gastroenterology Physician
Primary
003658
PR
Other
Enumeration date
08/23/2005
Last updated
06/02/2025
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