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General NPI Number Information
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NPI Number | 1326970369
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Entity Type | Individual
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Provider Name | CAMILA SOFIA LOPEZ MENDEZ MD
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Gender | Female
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Dates
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Enumeration Date | 06/02/2026
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Last Update Date | 06/02/2026
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Provider Practice Location Address
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Address Line | BAYAMON MEDICAL PLZ
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City | BAYAMON
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State | PR
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Zip | 00959-7200
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Country | US
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Telephone | 787-620-8181
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Fax |
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Provider Business Mailing Address
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Address Line | 216 URB HACIENDAS DE CAMUY
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City | CAMUY
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State | PR
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Zip | 00627-2860
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Country | US
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Telephone | 787-241-7391
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | 17754
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License Number State | PR
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