Healthcare Provider Details

I. General information

NPI: 1598546863
Provider Name (Legal Business Name): CHRISTOPHER LOPEZ GONZALEZ PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/11/2023
Last Update Date: 11/26/2024
Certification Date: 11/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 CARR 140
BARCELONETA PR
00617-2261
US

IV. Provider business mailing address

197 CALLE PEDRO ALBIZU CAMPOS
LARES PR
00669-2711
US

V. Phone/Fax

Practice location:
  • Phone: 787-846-6829
  • Fax:
Mailing address:
  • Phone: 787-215-1922
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number8300
License Number StatePR

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: