Lopez Gonzalez, Juan Pablo

Lopez Gonzalez, Juan Pablo is an sole proprietor health care provider with primary practice located at 34490 Cortez Blvd , Ridge Manor FL 33523-8908. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Lopez Gonzalez, Juan Pablo can be contacted via phone (352) 583-4520.

Contact Information

Primary practice address
34490 Cortez Blvd Ridge Manor FL 33523-8908
Phone: (352) 583-4520
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 16911 Puerto Rico

Profile Details

NPI number 1225210685
LBN Legal business name Lopez Gonzalez, Juan Pablo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 28th, 2007
Last updated May 22nd, 2020 - about 6 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 1225210685 NPPES
Puerto Rico Other 16911 MEDICINE LICENSE

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