| Doctor Name: | DR. CARMEN LOPEZ |
| NPI Number: | 1255314746 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D |
| License Number: | 9791 |
| Business Practice Address: | L1 Calle 4 Villas De Rio Grande Rio Grande, PR - 007450000 |
| Business Phone Number: | 7878887336 |
| Business Fax Number: | 7878874045 |
| Mailing Address: | L1 Calle 4 Villas De Rio Grande, RIO GRANDE |
| State: | PR |
| Postal Code: | 007450000 |
| Phone Number: | 7878887336 |
| Fax Number: | 7878874045 |
| NPI Enumeration Date: | 11/29/2005 |
| NPI Last Update Date: | 09/28/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 9791 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |