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General NPI Number Information
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NPI Number | 1043487960
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Entity Type | Individual
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Provider Name | ALEJANDRO JOSE LOPEZ-MAS M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/09/2008
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Last Update Date | 05/31/2023
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Provider Practice Location Address
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Address Line | 2225 PONCE BYP STE 603
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City | PONCE
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State | PR
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Zip | 00717-1379
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Country | US
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Telephone | 787-492-2000
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Fax | 787-813-0517
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Provider Business Mailing Address
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Address Line | PO BOX 7772
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City | PONCE
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State | PR
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Zip | 00732-7772
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Country | US
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Telephone | 787-492-2000
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 17388
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number | 60579-20
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License Number State | WI
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 17388
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License Number State | PR
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Taxonomy #4
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 17388
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License Number State | PR
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Taxonomy #5
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number | 17388
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License Number State | PR
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