Organization
CDT DR LOPEZ ANTONGIORGI
Active
Other names
CDT Dr. Jose Lopez Antongiorgi
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANGELIZ RODRIGUEZ LIC (ADMINISTRATOR)
(787) 480-5240
Entity
Organization
Contact information
Practice address
333 CALLE 25 NE, PUERTO NUEVO, PR 00920-2531
(787) 793-8989
(787) 792-7355
Mailing address
PO BOX 21405, SAN JUAN, PR 00928-1405
(787) 480-5240
Taxonomy
Speciality
Code
Description
License number
State
261QP0905X
State or Local Public Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
030362
CRUZ AZUL
PR
01
—
1001027
ACCA
PR
01
—
10219CD
TRIPLE S TODOS
PR
01
—
1140
PROSAM
PR
01
—
600304
UTI
PR
01
—
6604279JL
COSVI REFORMA Y PRIVADO
PR
01
—
7811
FIRST MEDICAL
PR
01
—
9170111
HUMANA TODAS
PR
Enumeration date
05/05/2007
Last updated
05/16/2023
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