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NPI Code Detail

MEDICARE: STOP THE PAIN CSP

MEDICARE: STOP THE PAIN CSP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208VP0014XInterventional Pain Medicine Physician16661PR

General Provider Information

NPI Number : 1013242262
Entity Type Code : Organization
Provider Name (Legal Business Name) : STOP THE PAIN CSP
Provider Business Mailing Address
First Line : 35 CALLE JUAN C BORBON
Second Line : STE 67-465
City : GUAYNABO
State : PR
Zip : 00969-5374
Country : US
Telephone Number : 787-525-0731
Fax Number : 787-848-0318
Provider Business Practice Location Address
First Line : 311 AVE DOMENECH
Second Line :
City : SAN JUAN
State : PR
Zip : 00918-3511
Country : US
Telephone Number : 787-525-0731
Fax Number : 787-848-0318
Authorized Official
Title or Position : PRESIDENT
Name : DR. DORIAN M LOPEZ-BRACETTY
Credential : M.D.
Telephone Number : 787-525-0731
Provider Enumeration Date : 10/06/2009
Last Update Date : 02/03/2010

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Directions to “STOP THE PAIN CSP ” Practice Location

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