Individual
ELAINE MARIE LOPEZ-FUENTES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
CALLE 1 PARCELA 143 CAMPO RICO, CANOVANAS, PR 00729-0072
(787) 221-2670
Mailing address
HC 3 BOX 6761, CANOVANAS, PR 00729-9707
(787) 221-2670
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4211
PR
Other
Enumeration date
02/03/2020
Last updated
10/19/2020
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