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NPI Code Detail

MEDICARE: MRS. MARIA M ROMAN LOPEZ M.D.

MEDICARE: MRS. MARIA M ROMAN LOPEZ M.D.
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
1207VG0400XGynecology Physician6351PR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
16351OTHERPRLICENCIA

General Provider Information

NPI Number : 1629038427
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MARIA M ROMAN LOPEZ M.D.
Provider Business Mailing Address
First Line : PO BOX 7289
Second Line :
City : CAGUAS
State : PR
Zip : 00726-7289
Country : US
Telephone Number : 787-746-2880
Fax Number : 787-746-9172
Provider Business Practice Location Address
First Line : AVE DEGETAU # F7
Second Line : BONNEVILLE TERRACE
City : CAGUAS
State : PR
Zip : 00725-5819
Country : US
Telephone Number : 787-746-2880
Fax Number : 787-746-9172
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/24/2006
Last Update Date : 11/23/2011

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