Individual
MARIA IVETTE LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
66 CALLE FERNANDEZ GARCIA, SUITE 66 D, LUQUILLO, PR 00773-2215
(787) 616-8057
Mailing address
PO BOX 1477, LUQUILLO, PR 00773-1477
(787) 616-8057
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
3578
PR
104100000X
Social Worker
5942
PR
Other
Enumeration date
10/24/2010
Last updated
10/24/2010
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