Individual
DR. NYDIA JUDITH LOPEZ GARCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
917 AVE TITO CASTRO, PONCE, PR 00716-4717
(787) 844-2080
(787) 844-1372
Mailing address
917 AVE TITO CASTRO, PONCE, PR 00716-4717
(787) 844-2080
(787) 844-1372
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
28577R
PR
281PC2000X
Children's Chronic Disease Hospital
20641
PR
282NC2000X
Children's Hospital
20641
PR
Other
Enumeration date
10/06/2011
Last updated
05/15/2013
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