Individual
DR. AWILDA LOPEZ RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
DRIVE IN PLAZA 2135 CARR 2, SUITE 65, BAYAMON, PR 00959
(912) 435-6965
Mailing address
1061 HARMON AVE, FORT STEWART, GA 31314-5641
(912) 435-6965
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
185
PR
Other
Enumeration date
04/25/2006
Last updated
09/27/2019
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