Provider Demographics
NPI:1104948876
Name:LOPEZ, FELIX (MD)
Entity type:Individual
Prefix:
First Name:FELIX
Middle Name:
Last Name:LOPEZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1012
Mailing Address - Street 2:
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00970-1012
Mailing Address - Country:US
Mailing Address - Phone:787-506-3643
Mailing Address - Fax:
Practice Address - Street 1:STATE INSURANCE FUND
Practice Address - Street 2:BOX 365028
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00936-5028
Practice Address - Country:US
Practice Address - Phone:787-282-7400
Practice Address - Fax:787-767-3211
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital