Individual
BELISSA A LOPEZ PENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 LINEA ARENAS, UTUADO, PR 00641-2729
(939) 225-0009
Mailing address
PO BOX 1263, UTUADO, PR 00641-1263
(939) 225-0004
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
21512
PR
390200000X
Student in an Organized Health Care Education/Training Program
Primary
21513
PR
Other
Enumeration date
08/08/2019
Last updated
08/21/2024
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