DR. Edwin Bannacek Lopez, MD
NPI #1164920807 in Guayama, Puerto Rico
Provider Information
- NPI Number
- 1164920807
- Entity Type
- Individual
- Name
- DR. Edwin Bannacek Lopez, MD
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- General Practice
- Credential
- MD
- Enumeration Date
- Jan 29, 2018
- Last Updated
- Dec 27, 2022
Practice Location
- Address
- CALLE FRANCISCO G BRUNO #48 OESTE ESQUINA SAN ANTONIO
- City
- Guayama
- State
- Puerto Rico
- ZIP Code
- 00784-0078
- Phone
- (787) 409-6657
Specialties & Taxonomy Codes
| Specialty |
|---|
| General Practice |
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