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Christian Jose Correa Lopez

Student in an Organized Health Care Education/Training Program in Cidra, PR. Individual provider (NPI-1).

NPI number1689347486
StatusActive
Last updated in NPPESJul 28, 2021

Details

NPI
1689347486
Entity type
Individual (NPI-1)
Name
Christian Jose Correa Lopez
Sex
Male
Sole proprietor
No
Enumeration date
Jul 28, 2021
Certification date
Jun 30, 2021
Last updated
Jul 28, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program–PRYes

Practice location

Ave. Luis Colon Santos Carr. 173 Km 1.1
Cidra, PR 00739

Phone 787-619-5482

Mailing address

Po Box 149
Salinas, PR 00751-0149

Phone 787-619-5482

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Other Student in an Organized Health Care Education/Training Program providers in Cidra, PR

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