Individual
JONATHAN LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
55 CALLE PALMA, ARECIBO, PR 00612-4526
(787) 650-1030
Mailing address
42369 CALLE ARCA DE NOE, QUEBRADILLAS, PR 00678-9495
(787) 579-2321
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0024187620
VA
367500000X
Certified Registered Nurse Anesthetist
134756
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
134756
—
FL
Enumeration date
01/31/2023
Last updated
08/09/2023
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