Individual
MRS. MAYRA LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LND
Contact information
Practice address
111 CALLE DUFRESNE, ESQ MANUEL CRUZ, HUMACAO, PR 00791
(787) 316-4371
Mailing address
PO BOX 1038, BAYAMON, PR 00960
(787) 360-7362
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
931
PR
Other
Enumeration date
10/03/2013
Last updated
02/13/2024
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