Provider Demographics
NPI:1467461327
Name:LOPEZ, ROCIO ELENA (MD)
Entity Type:Individual
Prefix:
First Name:ROCIO
Middle Name:ELENA
Last Name:LOPEZ
Suffix:
Gender:F
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:SABANERA DEL RIO 434 CAMINO DE LOS ALMACIGOS
Mailing Address - Street 2:
Mailing Address - City:GURABO
Mailing Address - State:PR
Mailing Address - Zip Code:00778
Mailing Address - Country:US
Mailing Address - Phone:787-743-8583
Mailing Address - Fax:787-743-8583
Practice Address - Street 1:MUNOZ RIVERA #2
Practice Address - Street 2:PROFESSIONAL CENTER OFIC. 200
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725
Practice Address - Country:US
Practice Address - Phone:787-743-8583
Practice Address - Fax:787-743-8583
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR15993208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice