Lopez, Jose Luis

Lopez, Jose Luis is an individual health care provider with primary practice located at 1324 Calle Canada Antiguo Hosp De Veterano Puerto Nuevo, San Juan PR 00920-3860. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Lopez, Jose Luis can be contacted via phone (787) 791-1551.

Contact Information

Primary practice address
1324 Calle Canada Antiguo Hosp De Veterano Puerto Nuevo San Juan PR 00920-3860
Phone: (787) 791-1551
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 1857 Puerto Rico

Profile Details

NPI number 1639202039
LBN Legal business name Lopez, Jose Luis
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639202039 NPPES
Puerto Rico MEDICAID 0057612

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