Provider Demographics
NPI:1114563590
Name:NIEVES LOPEZ, ZAIDA LILIANA (DMD)
Entity Type:Individual
Prefix:DR
First Name:ZAIDA
Middle Name:LILIANA
Last Name:NIEVES LOPEZ
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:20711 WILDERNESS OAK STE 103
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78258-2641
Mailing Address - Country:US
Mailing Address - Phone:210-672-0477
Mailing Address - Fax:
Practice Address - Street 1:125 SW MILITARY DR
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78221-1650
Practice Address - Country:US
Practice Address - Phone:210-922-3483
Practice Address - Fax:210-610-5887
Is Sole Proprietor?:No
Enumeration Date:2019-11-21
Last Update Date:2022-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX358011223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry