Individual
DR. RAUL E LOPEZ VERGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
0.3 CARR 110, CEIBA BAJA, AGUADILLA, PR 00603
(787) 882-0592
(787) 882-0562
Mailing address
PO BOX 864, SAN ANTONIO, PR 00690-0864
(787) 882-0592
(787) 882-0562
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
14569
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
263896563
—
PR
Enumeration date
05/23/2005
Last updated
07/02/2024
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