Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | 9170 | PR |
NPI | 1023119831 |
---|---|
Provider Name | Emilio A Arce-Lopez |
First Address | San Juan, PR 00907-2300 |
Second Address | San Juan, PR 00907-2300 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/09/2006 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F39763 | (02) | PR |