Luis Enrique Lopez | Mayaguez, PR • PECOS Search

Luis Enrique Lopez

General Practice

Allopathic & Osteopathic Physicians

De Diego 52 Este Suite 4, Mayaguez, PR 00680

(787) 832-2505 (787) 834-4382

PECOS Enrollment

Based on the most recent information from CMS, provider Luis Enrique Lopez does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1285841312
Provider Type
Individual
Full Name
Lopez, Luis Enrique
Title
Dr.
Credential
MD

Gender
Male
Sole Proprietor
Yes
Enumeration Date
5/17/2007
Last Updated
7/8/2007

Contact Information

Practice Location

De Diego 52 Este Suite 4, Mayaguez, PR 00680

Unlisted Fax

Mailing Location

PO Box 1088, Mayaguez, PR 00681-1088

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 208D00000X Primary	Description General Practice Allopathic & Osteopathic Physicians	License 10115 Puerto Rico