Individual
LUIS GEOVANNY GALBAN LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
BO HATO ABAJO KM 81.0 CARR #2, ARECIBO, PR 00612
(787) 896-1850
Mailing address
URB VISTA AZUL T21 CALLE #25, ARECIBO, PR 00612
(787) 236-1070
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2249
PR
Other
Enumeration date
09/30/2024
Last updated
09/30/2024
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