Individual
DR. MARIO R. LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
116-1 CALLE 74, VILLA CAROLINA, CAROLINA, PR 00985-4117
(787) 402-9031
(866) 396-9013
Mailing address
116-1 CALLE 74, VILLA CAROLINA, CAROLINA, PR 00985-4117
(787) 402-9031
(866) 396-9013
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
18378
PR
207RI0200X
Infectious Disease Physician
ME 75291
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18378
MEDICAL LICENSE
PR
05
—
259930900
—
FL
01
—
ME 75291
ME NUMBER
FL
Enumeration date
05/22/2006
Last updated
05/19/2014
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