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Individual

MARITZA LOPEZ-MONTALVO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
8169 CALLE CONCORDIA, COND SAN VICENTE, SUITE 211, PONCE, PR 00717-1554
(787) 843-5420
(787) 848-5287
Mailing address
PO BOX 5103, PMB 305, CABO ROJO, PR 00623-5103
(787) 314-9418
(787) 265-2229

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
14870
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
14870
STATE LICENSE NUMBER
PR
Enumeration date
06/14/2007
Last updated
07/08/2007
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