Provider Demographics
NPI:1487678264
Name:LOPEZ, MARIA J (MD)
Entity type:Individual
Prefix:DR
First Name:MARIA
Middle Name:J
Last Name:LOPEZ
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Gender:F
Credentials:MD
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Mailing Address - Street 1:10 CALLE CASIA
Mailing Address - Street 2:VETERAN'S AFFAIRS MEDICAL CENTER
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00921-3200
Mailing Address - Country:US
Mailing Address - Phone:787-641-7582
Mailing Address - Fax:787-641-9518
Practice Address - Street 1:AVE LOPATEGUI
Practice Address - Street 2:H-10, PARKVILLE BLVD
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00969-4595
Practice Address - Country:US
Practice Address - Phone:787-790-8098
Practice Address - Fax:000-000-0000
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-26
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
PR12,509207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine