1427091040 NPI number — DR. SALVADOR LOPEZ-ROJAS

Table of content: DR. SALVADOR LOPEZ-ROJAS (NPI 1427091040)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1427091040 NPI number — DR. SALVADOR LOPEZ-ROJAS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
LOPEZ-ROJAS
Provider First Name:
SALVADOR
Provider Middle Name:
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1427091040
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/08/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
62 CALLE PRINCIPAL
Provider Second Line Business Mailing Address:
JAREALITOS
Provider Business Mailing Address City Name:
ARECIBO
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00612-5407
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
787-878-3098
Provider Business Mailing Address Fax Number:
787-815-2693

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
CARRETERA NUM. 2 RAMAL 638 KM. 6.0 MIRAFLORES
Provider Second Line Business Practice Location Address:
638 KM. 6.0
Provider Business Practice Location Address City Name:
ARECIBO
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00612
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-815-2693
Provider Business Practice Location Address Fax Number:
787-815-2693
Provider Enumeration Date:
06/13/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 146D00000X , with the licence number:  10252 , registered in the state of PR ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 208D00000X , with the licence number: 10252 , registered in the state of PR ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)