Provider Demographics
NPI:1265496970
Name:LOPEZ DEL POZO, JORGE J (MD)
Entity type:Individual
Prefix:MR
First Name:JORGE
Middle Name:J
Last Name:LOPEZ DEL POZO
Suffix:
Gender:
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 1805
Mailing Address - Street 2:
Mailing Address - City:GUAYAMA
Mailing Address - State:PR
Mailing Address - Zip Code:00785-1805
Mailing Address - Country:US
Mailing Address - Phone:787-866-1212
Mailing Address - Fax:787-866-3322
Practice Address - Street 1:80 CALLE 3 S
Practice Address - Street 2:
Practice Address - City:GUAYAMA
Practice Address - State:PR
Practice Address - Zip Code:00784-5520
Practice Address - Country:US
Practice Address - Phone:787-866-1212
Practice Address - Fax:787-866-1212
Is Sole Proprietor?:No
Enumeration Date:2006-04-12
Last Update Date:2025-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR8331207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
0081480EOtherMEDICARE PRHC
0081479DOtherMEDICARE SHCG
E50971Medicare UPIN
0081480EOtherMEDICARE PRHC