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1487796553
ANTONIO MEDINA LOPEZ
JUNCOS, PR
NPI
1487796553
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: PR 13083)
Enumeration Date
2007-02-13
Last Update Date
2018-09-11
Business Address
Dr. ANTONIO MEDINA LOPEZ MD
CALLE LOPE HORMAZABAL # 40 URB MADRID
JUNCOS, PR 00777-0000
Phone number: 787-734-6020
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Mailing Address
Dr. ANTONIO MEDINA LOPEZ MD
40 CALLE LOPEZ HORMAZABAL
JUNCOS, PR 00777-3105
Phone number: 787-734-6020
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