Provider Demographics
NPI:1417291527
Name:LOPEZ-PEREZ, CARMEN B (OTR)
Entity Type:Individual
Prefix:MS
First Name:CARMEN
Middle Name:B
Last Name:LOPEZ-PEREZ
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:B9 CALLE 7
Mailing Address - Street 2:URB. MANSIONES DEL TOA
Mailing Address - City:TOA ALTA
Mailing Address - State:PR
Mailing Address - Zip Code:00953-2238
Mailing Address - Country:US
Mailing Address - Phone:787-645-0737
Mailing Address - Fax:
Practice Address - Street 1:B9 CALLE 7
Practice Address - Street 2:URB. MANSIONES DEL TOA
Practice Address - City:TOA ALTA
Practice Address - State:PR
Practice Address - Zip Code:00953-2238
Practice Address - Country:US
Practice Address - Phone:787-645-0737
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-11-15
Last Update Date:2017-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR340225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist