Provider Demographics
NPI:1790108322
Name:LOVIZCA
Entity Type:Organization
Organization Name:LOVIZCA
Other - Org Name:LOVIZCA INC
Other - Org Type:Other Name
Authorized Official - Title/Position:ORTHOPEDIC SURGEON
Authorized Official - Prefix:DR
Authorized Official - First Name:BENIGNO
Authorized Official - Middle Name:
Authorized Official - Last Name:LOPEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-672-2533
Mailing Address - Street 1:PO BOX 760
Mailing Address - Street 2:
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00726-0760
Mailing Address - Country:US
Mailing Address - Phone:787-672-2533
Mailing Address - Fax:
Practice Address - Street 1:CALLE MUNOZ RIVERA #1 FINAL
Practice Address - Street 2:CENTRO AMBULATORIO HIMA SAN PABLO CAGUAS
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725-0760
Practice Address - Country:US
Practice Address - Phone:787-672-2533
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-03
Last Update Date:2014-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR4588174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty