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Individual

VANESSA LOPEZ BEAUCHAMP

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
AVE JESUS T PINERO 1250, SAN JUAN, PR 00922
(787) 781-2565
(787) 792-8524
Mailing address
WINSTON CHURCHILL AVE #138, PMB 791, SAN JUAN, PR 00926-6023
(787) 415-8826

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
2009010054
MO
208D00000X
General Practice Physician
16609
PR

Other

Enumeration date
05/29/2007
Last updated
08/26/2010
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