Lopez, Mario R.

Lopez, Mario R. is an individual health care provider with primary practice located at 116-1 Calle 74 Villa Carolina, Carolina PR 00985-4117. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Lopez, Mario R. can be contacted via phone (787) 402-9031.

Contact Information

Primary practice address
116-1 Calle 74 Villa Carolina Carolina PR 00985-4117
Phone: (787) 402-9031
Fax: (866) 396-9013
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X ME 75291 Florida
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 18378 Puerto Rico

Profile Details

NPI number 1952355968
LBN Legal business name Lopez, Mario R.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2006
Last updated May 19th, 2014 - about 12 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 1952355968 NPPES
Puerto Rico Other 18378 MEDICAL LICENSE
Puerto Rico Other ME 75291 MEDICAL LICENSE
Puerto Rico MEDICAID 259930900 MEDICAL LICENSE

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