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NPI Code Detail

MEDICARE: KARILYN LOPEZ NEGRON RD

MEDICARE:   KARILYN  LOPEZ NEGRON  RD
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
1133VN1005XRenal Nutrition Registered Dietitian1556PR

General Provider Information

NPI Number : 1255780649
Entity Type Code : Individual
Provider Name (Legal Business Name) : KARILYN LOPEZ NEGRON RD
Provider Business Mailing Address
First Line : 320 VALLE DE TORRIMAR
Second Line :
City : GUAYNABO
State : PR
Zip : 00966-8706
Country : US
Telephone Number : 787-632-9257
Fax Number : 787-999-5539
Provider Business Practice Location Address
First Line : 1260 CALLE 54 SE
Second Line :
City : SAN JUAN
State : PR
Zip : 00921-3143
Country : US
Telephone Number : 787-999-5538
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/07/2016
Last Update Date : 04/04/2024

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Directions to “ KARILYN LOPEZ NEGRON RD” Practice Location

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