Organization
RLL SERV MED CSP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RODNEY LOPEZ LOPEZ MD (OWNER)
(787) 347-5311
Entity
Organization
Contact information
Practice address
47 CALLE JOSE I QUINTON, COAMO, PR 00769-2410
(787) 347-5311
Mailing address
PO BOX 686, COAMO, PR 00769-0686
(787) 347-5311
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
14539
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1578569216
NPI
PR
Enumeration date
12/27/2016
Last updated
12/27/2016
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