Provider Demographics
NPI:1174714398
Name:LOPEZ-REYMINDI, JOSE R (MD)
Entity type:Individual
Prefix:
First Name:JOSE
Middle Name:R
Last Name:LOPEZ-REYMINDI
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:PMB 245 SUITE 112
Mailing Address - Street 2:100 GRAND BLVD. PASEO
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926-5625
Mailing Address - Country:US
Mailing Address - Phone:787-637-5544
Mailing Address - Fax:787-292-0825
Practice Address - Street 1:GALERIA LOS PASEOS
Practice Address - Street 2:SUITE 108-A
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00926-5905
Practice Address - Country:US
Practice Address - Phone:787-637-5544
Practice Address - Fax:787-292-0825
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-05
Last Update Date:2007-08-05
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Provider Licenses
StateLicense IDTaxonomies
PR7611207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery