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Dr. Lidali Lopez, MD
General Practice Physician in Ponce, N/A
NPI 1346283579

Lidali Lopez is a General Practice Physician based in Mayaguez, . Lidali Lopez practices in Ponce, and has the professional credentials of MD. The NPI Number for Lidali Lopez is 1346283579 and holds a License No. 14486 (N/A).

The current practice location address for Lidali Lopez is Correctional Health Program, Ponce, and can be reached out via phone at 787-841-8000.

Location: Correctional Health Program, Ponce, , 00681-6169
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1346283579
Provider Name
Lidali Lopez
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
Correctional Health Program, Ponce, , 00681-6169
Phone Number
787-841-8000
Fax Number
Provider Enumeration Date
06/14/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
21154LO 01 PR TRIPLE-S
institution
Provider Business Practice Location Address Details
Address
Correctional Health Program
City
Ponce
State
Zip
00716
Phone Number
787-841-8000
Fax Number
person
Provider Business Mailing Address Details
Address
Correctional Health Program
City
Ponce
State
Zip
00716
Phone Number
787-841-8000
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
14486 ()
Definition
Definition to come...
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