Individual
ANIVELISSE LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
388 ZONA IND REPARADA 2, PONCE, PR 00716-2347
(787) 840-2575
Mailing address
225 URB ALTAMIRA, LARES, PR 00669-2919
(787) 517-7261
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/16/2022
Last updated
06/16/2022
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