Provider Demographics
NPI:1578532941
Name:LOPEZ RIVERA, ARTURO J (MD)
Entity Type:Individual
Prefix:
First Name:ARTURO
Middle Name:J
Last Name:LOPEZ RIVERA
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:PO BOX 1000
Mailing Address - Street 2:
Mailing Address - City:MAYAGUEZ
Mailing Address - State:PR
Mailing Address - Zip Code:00681-1000
Mailing Address - Country:US
Mailing Address - Phone:787-265-0255
Mailing Address - Fax:787-265-0255
Practice Address - Street 1:357 AVE HOSTOS OFFICE PARK II
Practice Address - Street 2:SUITE 205
Practice Address - City:MAYAGUEZ
Practice Address - State:PR
Practice Address - Zip Code:00680-1507
Practice Address - Country:US
Practice Address - Phone:787-265-0255
Practice Address - Fax:787-265-0255
Is Sole Proprietor?:No
Enumeration Date:2006-03-16
Last Update Date:2014-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR12231208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRG41268Medicare UPIN
PR0088584Medicare ID - Type Unspecified