Provider Demographics
NPI:1083636310
Name:ARROYO LOPEZ, LILLIANI (OD)
Entity Type:Individual
Prefix:DR
First Name:LILLIANI
Middle Name:
Last Name:ARROYO LOPEZ
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1701 CALLE AGUAS CALIENTES
Mailing Address - Street 2:URB. VENUS GARDENS
Mailing Address - City:RIO PIEDRAS
Mailing Address - State:PR
Mailing Address - Zip Code:00926-4652
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:WALMART VISION CENTER PLAZA SANTA ISABEL
Practice Address - Street 2:CARRETERA 153 KM. 7.2
Practice Address - City:SANTA ISABEL
Practice Address - State:PR
Practice Address - Zip Code:00757
Practice Address - Country:US
Practice Address - Phone:787-971-1005
Practice Address - Fax:787-845-0044
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR628152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist