Provider Demographics
NPI:1790074904
Name:RAYO LOPEZ, ERWIN EDUARDO
Entity Type:Individual
Prefix:MR
First Name:ERWIN
Middle Name:EDUARDO
Last Name:RAYO LOPEZ
Suffix:
Gender:M
Credentials:
Other - Prefix:MR
Other - First Name:ERWIN
Other - Middle Name:EDUARDO
Other - Last Name:RAYO LOPEZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:1177 CALLE 56 SE
Mailing Address - Street 2:REPARTO METROPOLITANO
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00921-2728
Mailing Address - Country:US
Mailing Address - Phone:787-363-9515
Mailing Address - Fax:
Practice Address - Street 1:UNIVERSITY OF PUERTO RICO
Practice Address - Street 2:UPR-MEDICAL SCIENCES CAMPUS
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00936-3185
Practice Address - Country:US
Practice Address - Phone:787-754-0101
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-29
Last Update Date:2011-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR179-E207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery