Provider Demographics
NPI:1285833152
Name:LOPEZ-BELAVAL, MARIA DEL MAR (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:MARIA DEL MAR
Middle Name:
Last Name:LOPEZ-BELAVAL
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:STREET 400 TORTUGO CORDOBA PARK
Mailing Address - Street 2:BOX 100
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926
Mailing Address - Country:US
Mailing Address - Phone:787-603-1250
Mailing Address - Fax:
Practice Address - Street 1:STREET 400 TORTUGO CORDOBA PARK
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00926
Practice Address - Country:US
Practice Address - Phone:787-603-1250
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-12
Last Update Date:2007-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR5204183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist