Provider Demographics
NPI:1538148937
Name:LOPEZ RAMIREZ, ELSA V (MD)
Entity type:Individual
Prefix:DR
First Name:ELSA
Middle Name:V
Last Name:LOPEZ RAMIREZ
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:58 B ESTE CALLE DOLORES CABRERA
Mailing Address - Street 2:PMB 263
Mailing Address - City:HUMACAO
Mailing Address - State:PR
Mailing Address - Zip Code:00791-0000
Mailing Address - Country:US
Mailing Address - Phone:787-285-0760
Mailing Address - Fax:787-285-0760
Practice Address - Street 1:CL ESMERALDA E-10
Practice Address - Street 2:
Practice Address - City:HUMACAO
Practice Address - State:PR
Practice Address - Zip Code:00791
Practice Address - Country:US
Practice Address - Phone:787-285-0760
Practice Address - Fax:787-285-0760
Is Sole Proprietor?:No
Enumeration Date:2006-01-13
Last Update Date:2019-03-25
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PR8759208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR83691Medicare ID - Type Unspecified
F74124Medicare UPIN