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NPI 1043644412

IndividualActive

Deric Lopez, M.D.

NPI 1043644412 · Geriatric Medicine (Family Medicine) Physician · Manati, PR

Provider details

NPI number: 1043644412
Entity type: Individual
Primary specialty: Geriatric Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
Credential: M.D.
Sex: Male
Sole proprietor: Yes
License: 19986 (PR)

Specialties & taxonomies

Geriatric Medicine (Family Medicine) PhysicianPrimary207QG0300XLicense 19986 (PR)
Allopathic & Osteopathic Physicians

Practice location

Carretera # 2 Km 47.7

Manati, PR 00674

Phone: (787) 854-3322

More PR providers

Mailing address

Po Box 30532

Manati, PR 00674-8513

Additional practice locations (1)

Carretera 2 Interseccion 668
Urbanization Athenas
Manati, PR 00674
Phone: (787) 621-3700

Registry dates

Enumerated: 2013-08-21
Last updated: 2019-08-05

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Deric Lopez, M.D. — NPI 1043644412, Manati, PR | NPI Central