Individual provider · Type 1 NPI

Edwin Bannacek Lopez, MD

General Practice Physician · Guayama, PR

NPI number 1164920807 Active

Practice location

Calle Francisco G Bruno #48 Oeste Esquina San Antonio
Guayama, PR 00784-0078

Call (787) 409-6657 Map

Fax (787) 409-6657

Mailing address

PO Box 13
Guayama, PR 00785-0013

Specialties and licenses

TaxonomyCodeLicense
General Practice Physician Primary 208D00000X19831 (PR)

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

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About NPI 1164920807

Edwin Bannacek Lopez, MD's National Provider Identifier is 1164920807, issued on Jan 29, 2018. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Guayama, PR. The record was last updated on Dec 27, 2022.