Individual
MRS. IVONNE LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
BO BARRANCAS CARR 771 KM 5.3, BARRANQUITAS, PR 00794
(787) 857-5522
(787) 857-5522
Mailing address
HC 2 BOX 15603, COMERIO, PR 00782-9647
(787) 857-5522
(787) 857-5522
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
5613
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5613
LICENSE
PR
Enumeration date
05/23/2007
Last updated
07/08/2007
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