Individual
MRS. YAZMIN LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
CARR 2 KM 126.4, BO CAIMITAL BAJO, AGUADILLA, PR 00603
(787) 882-3230
Mailing address
HC 06 BOX 61944, AGUADILLA, PR 00603
(787) 238-8951
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1063
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1063
PT
PR
05
—
1063
—
PR
Enumeration date
04/30/2019
Last updated
04/30/2019
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