Individual
OMARYS NICOLE LOPEZ MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
BARRIO PADILLA SECTOR HORIMIGAS 1, COROZAL, PR 00783
(939) 401-4007
Mailing address
HC 5 BOX 10665, COROZAL, PR 00783-9533
(939) 401-4007
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4635
PR
Other
Enumeration date
01/13/2023
Last updated
07/02/2025
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