Provider Demographics
NPI:1003995283
Name:MARGARITA LOPEZ
Entity Type:Organization
Organization Name:MARGARITA LOPEZ
Other - Org Name:DBA LA AMISTAD ADULT DAYCARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:MARGARITA
Authorized Official - Middle Name:
Authorized Official - Last Name:LOPEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-544-2554
Mailing Address - Street 1:114 HONEYDALE RD
Mailing Address - Street 2:
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78520-7806
Mailing Address - Country:US
Mailing Address - Phone:956-544-2554
Mailing Address - Fax:956-544-1198
Practice Address - Street 1:114 HONEYDALE RD
Practice Address - Street 2:
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78520-7806
Practice Address - Country:US
Practice Address - Phone:956-544-2554
Practice Address - Fax:956-544-1198
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-06
Last Update Date:2018-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day CareGroup - Single Specialty