# LIZZETTE LOPEZ RODRIGUEZ

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467822189
- **Authorized official:** MRS. LIZZETTE LOPEZ (PHISICAL THERAPIST)
- **Authorized official phone:** (787) 560-0724

## Contact information

- **Practice address:** H69 CALLE 8, URB DEL CARMEN, CAMUY, PR 00627
- **Practice address phone:** (787) 560-0724
- **Mailing address:** H69 CALLE 8, URB DEL CARMEN, CAMUY, PR 00627

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2000X | Physical Therapy Clinic/Center | 1058-1 | PR | Yes |

## Other

- **Enumeration date:** 10/07/2015
- **Last updated:** 10/07/2015