Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 5907 | PR |
N | 111NI0900X | Internist | 5907 | PR |
N | 207RH0003X | Hematology & Oncology | 5907 | PR |
NPI | 1043278567 |
---|---|
Provider Name | Dr. Luis R Lopez-Ruyol |
First Address | Carolina, PR 00986-1289 |
Second Address | Carolina, PR 00985 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/05/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
C78196 | (02) |