| Doctor Name: | JESUS A PEREZ LOPEZ |
| NPI Number: | 1720079189 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 11959 |
| Business Practice Address: | 100 Calle Eloy Torres Lugo Urb. El Prado Aguadilla, PR - 006035842 |
| Business Phone Number: | 7872803655 |
| Business Fax Number: | 7872802776 |
| Mailing Address: | Po Box 5360, SAN SEBASTIAN |
| State: | PR |
| Postal Code: | 006855360 |
| Phone Number: | 7872803655 |
| Fax Number: | 7872802776 |
| NPI Enumeration Date: | 11/03/2005 |
| NPI Last Update Date: | 09/08/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 11959 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |