Individual
MRS. LUZ DIVINA LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSICOLOGY
Contact information
Practice address
SUITE 728 AVE. E.POL #497, SAN JUAN, PR 00926
(787) 617-2657
(787) 281-6992
Mailing address
AVE. E. APL 497, SUITE 728, SAN JUAN, PR 00926
(787) 617-2657
(787) 281-6992
Taxonomy
Speciality
Code
Description
License number
State
103TH0100X
Health Service Psychologist
Primary
002663
PR
Other
Enumeration date
03/30/2007
Last updated
07/08/2007
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