Deric Alejandro Lopez
Family Doctor - Geriatric Medicine
Carretera # 2 Km 47.7
Manati
, Puerto Rico 00674
Deric Alejandro Lopez
Family Doctor - Geriatric Medicine
Carretera # 2 Km 47.7
Manati
, Puerto Rico 00674
(787) 854-3322
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About
Features
Specialties
- Family Doctor - Geriatric Medicine
Languages spoken
- English
Location
First Address
- Deric Alejandro Lopez
- Po Box 30532
- Manati, PR
- Zip : 00674-8513
- Phone : (787) 854-3322
Second Address
- Deric Alejandro Lopez
- Carretera # 2 Km 47.7
- Manati, PR
- Zip : 00674
- Phone : (787) 854-3322
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207QG0300X | Family Doctor - Geriatric Medicine | 19986 | PR |
National Provider Identifier
| NPI | 1043644412 |
|---|---|
| Provider Name | Deric Alejandro Lopez |
| First Address | Manati, PR 00674-8513 |
| Second Address | Manati, PR 00674 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/08/2013 |
| Last Update Date | 05/08/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.