Individual
JOSE CARLOS LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
42369 CALLE ARCA DE NOE, QUEBRADILLAS, PR 00678-9495
(904) 881-7750
Mailing address
42369 CALLE ARCA DE NOE, QUEBRADILLAS, PR 00678-9495
(904) 881-7750
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
11006434
FL
Other
Enumeration date
03/11/2020
Last updated
03/11/2020
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