Provider Demographics
NPI:1497509012
Name:LOPEZ, MERCI YANARY
Entity Type:Individual
Prefix:MRS
First Name:MERCI
Middle Name:YANARY
Last Name:LOPEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4812 71ST AVE
Mailing Address - Street 2:
Mailing Address - City:HYATTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20784-1607
Mailing Address - Country:US
Mailing Address - Phone:202-415-1631
Mailing Address - Fax:
Practice Address - Street 1:4812 71ST AVE APT SUITE
Practice Address - Street 2:
Practice Address - City:HYATTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20784-1607
Practice Address - Country:US
Practice Address - Phone:202-415-1631
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-11
Last Update Date:2024-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant