Individual
SANDRA LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
690 CALLE CESAR GONZALEZ, SAN JUAN, PR 00918-3901
(787) 378-6964
Mailing address
690 CALLE CESAR GONZALEZ, SAN JUAN, PR 00918-3901
(787) 378-6964
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
05/03/2014
Last updated
05/03/2014
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