Provider Demographics
NPI:1437181435
Name:ENCARNACION LOPEZ, GILBERTO J (GENERAL MEDICINE)
Entity Type:Individual
Prefix:DR
First Name:GILBERTO
Middle Name:J
Last Name:ENCARNACION LOPEZ
Suffix:
Gender:M
Credentials:GENERAL MEDICINE
Other - Prefix:DR
Other - First Name:GILBERTO
Other - Middle Name:ENCARNACION
Other - Last Name:LOPEZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MEDICINE DOCTOR
Mailing Address - Street 1:CALLE MALVIS 973
Mailing Address - Street 2:URB.COUNTRY CLUB
Mailing Address - City:RIO PIEDRAS
Mailing Address - State:PR
Mailing Address - Zip Code:00924
Mailing Address - Country:US
Mailing Address - Phone:787-281-8680
Mailing Address - Fax:
Practice Address - Street 1:973 CALLE MALVIS
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00924-1758
Practice Address - Country:US
Practice Address - Phone:787-281-8680
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2015-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI16051208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice