Individual
DR. IRMA E LOPEZ - SOTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
AVE. FRAGOSO #14 VILLA FONTANA, CAROLINA, PR 00983
(787) 565-2155
Mailing address
PO BOX 363749, SAN JUAN, PR 00936-3749
(787) 565-2155
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
317
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
58127
MEDICARE OPTIMO TRIPLE-S
PR
01
—
58127LO
TRIPLE-S, INC
PR
Enumeration date
04/27/2007
Last updated
07/08/2007
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