Organization
MLD PAIN MANAGEMENT INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MANUEL ENRIQUE LOPEZ M.D. (PRESIDENT)
(787) 998-0088
Entity
Organization
Contact information
Practice address
66 CALLE SANTA CRUZ, INSTITUTO SAN PABLO SUITE #407, BAYAMON, PR 00961-7041
(787) 998-0088
(787) 998-0019
Mailing address
PO BOX 1558, DORADO, PR 00646-1558
(787) 998-0019
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
15704
PR
Other
Enumeration date
09/15/2011
Last updated
11/21/2011
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