Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0216X | Pediatric Rheumatologist | 17087 | PR |
NPI | 1548454093 |
---|---|
Provider Name | Dr. Annette Y Lopez Martinez |
First Address | San Juan, PR 00917-2750 |
Second Address | San Juan, PR 00912 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/08/2007 |
Last Update Date | 21/09/2011 |