Octavio Jordan Lopez in Bayamon - Specialist
Octavio Jordan Lopez - NPI 1760475024
Octavio Jordan Lopez is a Specialist in Bayamon, Puerto Rico. Octavio Jordan Lopez practices all healthcare services and medical treatments related to Specialist. The NPI Number for Octavio Jordan Lopez is 1760475024. The last update date is 2011-05-20.
Octavio Jordan Lopez's current location address is Edif Medico Santa Cruz, Bayamon, Puerto Rico. You can contact this provider via phone number 7877807832 and fax number 7877981445. The mailing address for Octavio Jordan Lopez is Edif Medico Santa Cruz, Bayamon, Puerto Rico. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Octavio Jordan Lopez |
|---|---|
| Address | Edif Medico Santa Cruz, Bayamon, Puerto Rico |
| Phone Number | 7877807832 |
| Fax Number | 7877981445 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1760475024 |
|---|---|
| Provider Enumeration Date | 2005-08-23 |
| Last Updated Date | 2011-05-20 |
Provider Mailing Address Detail
| Address | Edif Medico Santa Cruz |
|---|---|
| City | Bayamon |
| State | Puerto Rico (PR) |
| Post Code | 9616910 |
| Phone Number | 7877807832 |
| Fax Number | 7877981445 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 3658 |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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What is the unique identifier code issued to Octavio Jordan Lopez by the Centers for Medicare & Medicaid Services (CMS)?
The Octavio Jordan Lopez has been assigned the NPI (National Provider Identifier) 1760475024. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Octavio Jordan Lopez?
The Octavio Jordan Lopez is situated at Edif Medico Santa Cruz, in the city of Bayamon, state of PR, with the zip code 9616910.
What is Octavio Jordan Lopez's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Octavio Jordan Lopez is Specialist, and the corresponding taxonomy classification code for this specialized field is 174400000X.
When did the Octavio Jordan Lopez receive its 1760475024?
The Octavio Jordan Lopez was issued its 1760475024 on 2005-08-23, which is the date when the organization was assigned this unique identifier.
When was the information pertaining to Octavio Jordan Lopez most recently updated or revised?
The details related to Octavio Jordan Lopez, including its address, specialty, and other relevant information, were last updated or revised on 2011-05-20.