Provider Demographics
NPI:1336342419
Name:LOZADA, DAVID (MD)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:
Last Name:LOZADA
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:49 CALLE ROBERTO CLEMENTE
Mailing Address - Street 2:
Mailing Address - City:MANATI
Mailing Address - State:PR
Mailing Address - Zip Code:00674-5774
Mailing Address - Country:US
Mailing Address - Phone:787-621-3734
Mailing Address - Fax:787-621-3251
Practice Address - Street 1:CARR 2 INTERSECCION 668 URB ATENAS
Practice Address - Street 2:MANATI MEDICAL CENTER SUITE 201
Practice Address - City:MANATI
Practice Address - State:PR
Practice Address - Zip Code:00674-0001
Practice Address - Country:US
Practice Address - Phone:787-621-3734
Practice Address - Fax:787-621-3251
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-07
Last Update Date:2022-03-02
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Provider Licenses
StateLicense IDTaxonomies
PR16773207T00000X
GA69203207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery