IndividualActive
Jose Lopez, PHYSICIAN ASSISTANT
NPI 1205416013 · Physician Assistant · Caguas, PR
Provider details
- NPI number
- 1205416013
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PHYSICIAN ASSISTANT
- Sex
- Male
- Sole proprietor
- No
- License
- 000742-P.A (PR)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
Carretera 183 Km 5.0 Tomas De Castro 2
Caguas, PR 00725
Phone: (787) 320-0040
Mailing address
Hc 03 Box 41425
Caguas, PR 00725
Registry dates
- Enumerated
- 2021-04-14
- Last updated
- 2021-04-14
- Certified
- 2021-03-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.