Provider Demographics
NPI:1114393386
Name:LOPEZ-RIVERA, ZAMMARIE D (MD)
Entity Type:Individual
Prefix:MR
First Name:ZAMMARIE
Middle Name:D
Last Name:LOPEZ-RIVERA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:URB.PARAISO DE MAYAGUEZ
Mailing Address - Street 2:217 CALLE BONDAD
Mailing Address - City:MAYAGUEZ
Mailing Address - State:PR
Mailing Address - Zip Code:00680
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:44 CALLE RIUS RIVERA
Practice Address - Street 2:
Practice Address - City:CABO ROJO
Practice Address - State:PR
Practice Address - Zip Code:00623-3437
Practice Address - Country:US
Practice Address - Phone:787-851-0165
Practice Address - Fax:787-851-0165
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-11
Last Update Date:2024-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR19544208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty