Individual provider · NPI-1

Reynaldo Agosto Lopez, 1680P

Emergency Medical Technician, Paramedic · Guaynabo, PR

NPI number1205049871
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1205049871
Entity type
Individual (NPI-1)
Name
Reynaldo Agosto Lopez
Credential
1680P
Sex
Male
Sole proprietor
No
Enumeration date
May 8, 2007
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
146L00000X Emergency Medical Technician, Paramedic1680PPRYes

Practice location

90 Calle San Martin
Guaynabo, PR 00968-1400

Phone 787-754-2550 · Fax 787-781-2063

Mailing address

Po Box 2161
San Juan, PR 00922-2161

Phone 787-754-2550 · Fax 787-781-2063

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