Provider Demographics
NPI:1487622916
Name:LOPEZ-GONZALEZ, FRANCISCO MANUEL (MD)
Entity type:Individual
Prefix:DR
First Name:FRANCISCO
Middle Name:MANUEL
Last Name:LOPEZ-GONZALEZ
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:#225 PRESIDENTE RAMIREZ, URB BALDRICH
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00918
Mailing Address - Country:US
Mailing Address - Phone:787-758-7270
Mailing Address - Fax:787-764-4918
Practice Address - Street 1:PLAZA LAS AMERICAS
Practice Address - Street 2:SUITE 601
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00918-8001
Practice Address - Country:US
Practice Address - Phone:787-758-7270
Practice Address - Fax:787-764-4918
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-10
Last Update Date:2011-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR13180207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRH20695Medicare UPIN
PR2-0621LOMedicare ID - Type Unspecified