Manuel Lopez Martinez, 0620B

Individual provider Active NPI Basic Emergency Medical Technician · Guaynabo, PR

NPI 1285840348 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1285840348
Entity type
Individual (NPI type 1)
Primary specialty
Basic Emergency Medical Technician 146N00000X
License
0620B (PR)
Practice address
90 Calle San Martin
Guaynabo, PR 00968-1400
Phone
(787) 754-2550
Fax
(787) 781-2063
NPI assigned
May 15, 2007
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
0620BPRMDBasic Emergency Medical Technician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Basic Emergency Medical Technician 146N00000X 0620B PR Yes

Addresses

Primary practice location

90 Calle San Martin
Guaynabo, PR 00968-1400

Mailing address

PO Box 2161
San Juan, PR 00922-2161
Phone (787) 754-2550

Other providers in Guaynabo, PR

All providers in Guaynabo, PR · Basic Emergency Medical Technician in Puerto Rico

Sources for this page

Verify at the official NPI Registry.