Individual
PATRICIA JEANNETTE LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
66 URB CATALANA, EDIFICIO COMERCIAL LOCAL 1, BARCELONETA, PR 00617
(787) 915-3000
Mailing address
PO BOX 140053, ARECIBO, PR 00614-0053
(787) 915-3000
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4147
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5010657
DRIVERS LICENSE
PR
Enumeration date
05/30/2019
Last updated
05/30/2019
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