Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 17388 | PR |
N | 111NI0900X | Internist | 17388 | PR |
N | 207RC0000X | Internist - Cardiovascular Disease | 17388 | PR |
Y | 207RI0011X | Interventional Cardiology | 17388 | PR |
N | 207RI0011X | Interventional Cardiology | 60579-20 | WI |
N | 208D00000X | General Practice Physician | 17388 | PR |
NPI | 1043487960 |
---|---|
Provider Name | Dr. Alejandro Jose Lopez-Mas |
First Address | Ponce, PR 00715-0372 |
Second Address | Ponce, PR 00733 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/05/2008 |
Last Update Date | 15/06/2018 |