Individual
JONATHAN LOPEZ MEDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 AVE LUIS MUNOZ MARIN, CAGUAS, PR 00725-6184
(787) 653-6060
Mailing address
URB. CAUTIVA, 12 CALLE ALMACIGOS, CAGUAS, PR 00727-3118
(787) 647-0369
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
021843
PR
Other
Enumeration date
07/13/2020
Last updated
10/09/2023
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