Provider Demographics
NPI:1922066711
Name:LOPEZ-VELEZ, RICARDO R (MD)
Entity Type:Individual
Prefix:DR
First Name:RICARDO
Middle Name:R
Last Name:LOPEZ-VELEZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:URB MANSIONES DE MONTERREY A 19
Mailing Address - Street 2:BOX 724
Mailing Address - City:YAUCO
Mailing Address - State:PR
Mailing Address - Zip Code:00698
Mailing Address - Country:US
Mailing Address - Phone:787-314-1567
Mailing Address - Fax:787-856-8686
Practice Address - Street 1:ROAD 135, KM. 64.2
Practice Address - Street 2:BOX 1003
Practice Address - City:CASTANER
Practice Address - State:PR
Practice Address - Zip Code:00631
Practice Address - Country:US
Practice Address - Phone:787-829-5010
Practice Address - Fax:787-829-2913
Is Sole Proprietor?:No
Enumeration Date:2006-05-02
Last Update Date:2012-10-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PR16157208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice