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NPI Code Detail

MEDICARE: DR. ROBERTO LOPEZ LEBRON M. D.

MEDICARE: DR. ROBERTO LOPEZ LEBRON 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
1207L00000XAnesthesiology Physician2003-0037NM
2207L00000XAnesthesiology Physician10010PR

General Provider Information

NPI Number : 1760596720
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROBERTO LOPEZ LEBRON M. D.
Provider Business Mailing Address
First Line : PO BOX 1566
Second Line :
City : GUAYAMA
State : PR
Zip : 00785-1566
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 100 AVE LUIS MUNOZ MARIN
Second Line :
City : CAGUAS
State : PR
Zip : 00725-6184
Country : US
Telephone Number : 918-342-6200
Fax Number : 918-342-2630
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/18/2006
Last Update Date : 06/04/2020

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