NPI 1205416013

Jose Miguel Lopez, PHYSICIANASSISTANT

Practitioner Physician Assistant Caguas, PR

Practice location

Address: Carretera 183 Km 5.0 Tomas de Castro 2, Caguas, PR 00725
Phone: (787) 320-0040
Mailing address: Hc 03 Box 41425, Caguas, PR 00725

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 000742-P.A (PR)

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Registry record

NPI: 1205416013
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 Apr 2021
Record last updated: 14 Apr 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.