Provider Demographics
NPI:1427196070
Name:LOPEZ-ROSARIO, LUCIA M (DC)
Entity Type:Individual
Prefix:MISS
First Name:LUCIA
Middle Name:M
Last Name:LOPEZ-ROSARIO
Suffix:
Gender:F
Credentials:DC
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 55
Mailing Address - Street 2:
Mailing Address - City:CANOVANAS
Mailing Address - State:PR
Mailing Address - Zip Code:00729-0055
Mailing Address - Country:US
Mailing Address - Phone:787-365-9119
Mailing Address - Fax:
Practice Address - Street 1:1509 AVE JESUS T PINERO
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00920-5404
Practice Address - Country:US
Practice Address - Phone:787-792-2254
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR426111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor