Provider Demographics
NPI:1407066970
Name:LOPEZ, MARGARITA (THL)
Entity Type:Individual
Prefix:
First Name:MARGARITA
Middle Name:
Last Name:LOPEZ
Suffix:
Gender:F
Credentials:THL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 831
Mailing Address - Street 2:
Mailing Address - City:NAGUABO
Mailing Address - State:PR
Mailing Address - Zip Code:00718-0831
Mailing Address - Country:US
Mailing Address - Phone:787-874-2624
Mailing Address - Fax:
Practice Address - Street 1:URBANIZACION DIPLO CALLE 11 E-27
Practice Address - Street 2:
Practice Address - City:NAGUABO
Practice Address - State:PR
Practice Address - Zip Code:00718-0831
Practice Address - Country:US
Practice Address - Phone:787-874-2624
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR6782355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant