Individual
DR. LUIS ALBERTO LOPEZ CASTRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3047 AVE EMILIO FAGOT, PONCE, PR 00716-4115
(787) 841-7194
(787) 841-7194
Mailing address
PO BOX 7670, PONCE, PR 00732-7670
(787) 841-7194
(787) 841-7194
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
10856
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10856
STATE LICENCE
PR
Enumeration date
01/06/2007
Last updated
11/02/2016
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