Provider Demographics
NPI:1427091040
Name:LOPEZ-ROJAS, SALVADOR
Entity type:Individual
Prefix:DR
First Name:SALVADOR
Middle Name:
Last Name:LOPEZ-ROJAS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:62 CALLE PRINCIPAL
Mailing Address - Street 2:JAREALITOS
Mailing Address - City:ARECIBO
Mailing Address - State:PR
Mailing Address - Zip Code:00612-5407
Mailing Address - Country:US
Mailing Address - Phone:787-878-3098
Mailing Address - Fax:787-815-2693
Practice Address - Street 1:CARRETERA NUM. 2 RAMAL 638 KM. 6.0 MIRAFLORES
Practice Address - Street 2:638 KM. 6.0
Practice Address - City:ARECIBO
Practice Address - State:PR
Practice Address - Zip Code:00612
Practice Address - Country:US
Practice Address - Phone:787-815-2693
Practice Address - Fax:787-815-2693
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-13
Last Update Date:2012-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR10252146D00000X, 208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No146D00000XEmergency Medical Service ProvidersPersonal Emergency Response Attendant