Individual
DR. WALLY LOPEZ BONILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
HOSPITAL LA CONCEPCION CARR # 2 KM.173.4 2ND FLOOR, SAN GERMAN, PR 00683
(787) 892-6972
Mailing address
HOSPITAL LA CONCEPCION CARR # 2 KM.173.4 2ND FLOOR, SAN GERMAN, PR 00683
(787) 892-6972
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
11784
PR
Other
Enumeration date
12/20/2006
Last updated
01/22/2010
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