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Individual

DR. LUIS F. GARCIA - LOPEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
12 CALLE BARBOSA N, CAYEY, PR 00736-3730
(787) 738-6990
Mailing address
PO BOX 270246, SAN JUAN, PR 00928
(787) 763-5541
(787) 751-8894

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
5715
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
065549
LA CRUZ AZUL DE PR
PR
01
2500922
ACAA
PR
01
25406GA
SSS
PR
01
600256
MMMHC
PR
01
9260023
HUMANA PR
PR
Enumeration date
09/12/2005
Last updated
04/15/2019
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