Doctor Name: | DR. JOEL JOSUE LOPEZ-VEGA |
NPI Number: | 1992972459 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 17153 |
Business Practice Address: | Carr 110 Km 3.6 Bo. Arenales Sector La Charca Aguadilla, PR - 006039466 |
Business Phone Number: | 7878900789 |
Business Fax Number: | |
Mailing Address: | Hc 07 Box 38931, AGUADILLA |
State: | PR |
Postal Code: | 006039466 |
Phone Number: | 7878900789 |
Fax Number: | 7878900789 |
NPI Enumeration Date: | 05/14/2008 |
NPI Last Update Date: | 05/14/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 17153 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |