Individual
DR. BENJAMIN LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
URB. VILLA REAL, B15 CARR.686, VEGA BAJA, PR 00693
(939) 272-6600
(787) 784-0680
Mailing address
URB. VILLA REAL, B15 CARR.686, VEGA BAJA, PR 00693
(939) 272-6600
(787) 784-0680
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
001622-
PR
363AM0700X
Medical Physician Assistant
001622
PR
Other
Enumeration date
08/22/2023
Last updated
08/22/2023
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