Individual
MRS. NYDIA LISVETTE LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
THL
Contact information
Practice address
CARR #2 KM 8.2 BO. JUAN SANCHEZ, BAYAMON, PR 00960-7087
(787) 763-7575
Mailing address
CALLE CAMINO DEL MONTE 36, COLINAS DE PLATA, TOA ALTA, PR 00953
(787) 636-3104
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
539
PR
3245S0500X
Children's Substance Abuse Rehabilitation Facility
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Other
Enumeration date
02/28/2023
Last updated
02/28/2023
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