Individual
JUAN E LOPEZ SANTOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
PARQUE TERRALINDA,, APT.KK-2, BOX1202, TRUJILLO ALTO, PR 00976
(787) 293-4601
Mailing address
VISTA SERENA 920, SUITE T 301, TRUJILLO ALTO, PR 00976
(939) 251-7182
(787) 998-0735
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
003255
PR
Other
Enumeration date
01/12/2010
Last updated
02/13/2017
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