Provider Demographics
NPI:1750334835
Name:LOPEZ-PUJALS, ALVIN (MD)
Entity type:Individual
Prefix:
First Name:ALVIN
Middle Name:
Last Name:LOPEZ-PUJALS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:URB SAN FRANCISCO CALLE LILAS 1662
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00927
Mailing Address - Country:US
Mailing Address - Phone:787-744-0509
Mailing Address - Fax:787-746-3174
Practice Address - Street 1:AVE DEGETAU
Practice Address - Street 2:SUITE 506
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725-7308
Practice Address - Country:US
Practice Address - Phone:787-744-0509
Practice Address - Fax:787-746-3174
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-18
Last Update Date:2024-03-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PR13456208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRH97447Medicare UPIN