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NPI Code Detail

MEDICARE: YOLANDA LOPEZ-LOPEZ M.D.

MEDICARE: YOLANDA LOPEZ-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
1207RR0500XRheumatology Physician6956PR

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
33174OTHERPRPREFFERED MEDICARE CHOICE
6601406OTHERPRMEDICARE Y MUCHO MAS

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1224052OTHERPRPREFFERED HEALTH
228900LOOTHERPRTRIPLE S
4SE1188OTHERPRPAN AMERICAN LIFE
5068925OTHERPRCRUZ AZUL
78000138OTHERPRHUMANA INSURANCE

General Provider Information

NPI Number : 1962494799
Entity Type Code : Individual
Provider Name (Legal Business Name) : YOLANDA LOPEZ-LOPEZ M.D.
Provider Business Mailing Address
First Line : 66 CALLE SANTA CRUZ
Second Line : SUITE 307 INSTITUTO SAN PABLO
City : BAYAMON
State : PR
Zip : 00961-7041
Country : US
Telephone Number : 787-798-8486
Fax Number : 787-740-7170
Provider Business Practice Location Address
First Line : 66 CALLE SANTA CRUZ
Second Line : SUITE 307 INSTITUTO SAN PABLO
City : BAYAMON
State : PR
Zip : 00961-7041
Country : US
Telephone Number : 787-798-8486
Fax Number : 787-740-7170
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/18/2005
Last Update Date : 07/16/2007

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