Individual
DR. LUZ NEREIDA LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
LOPEZ BONET MEDICAL CLINIC, 927 SANCHEZ VILELLA AVE., COUNTRY CLUB, SAN JUAN, PR 00924-3420
(787) 757-6617
(787) 757-6617
Mailing address
LOPEZ BONET MEDICAL CLINIC, 927 SANCHEZ VILELLA AVE., COUNTRY CLUB, SAN JUAN, PR 00924-3420
(787) 757-6617
(787) 757-6617
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
9065
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
011-8419
AACA
PR
01
—
060275
CRUZ AZUL
PR
01
—
201577
PREFERRED HEALTH
PR
01
—
660522569009240000
CHAMPUS
PR
01
—
81921
TRIPLES
PR
01
—
PG2635
PALIC
—
Enumeration date
05/09/2006
Last updated
09/16/2010
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