Individual
MR. JUAN A LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
CALLE56 2M57 URBMETROPOLIS, CAROLINA, PR 00987
(787) 557-6710
Mailing address
C56 NUM 2M57 URB METROPOLIS, CAROLINA, PR 00987
(787) 557-6710
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
772
PR
Other
Enumeration date
07/27/2009
Last updated
07/27/2009
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