Provider Demographics
NPI:1518166487
Name:LOPEZ-CASTELLAR, LYZBETTE (CNMT)
Entity Type:Individual
Prefix:
First Name:LYZBETTE
Middle Name:
Last Name:LOPEZ-CASTELLAR
Suffix:
Gender:F
Credentials:CNMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:632 PEDRO VELAZQUEZ DIAZ STREET
Mailing Address - Street 2:
Mailing Address - City:PENUELAS
Mailing Address - State:PR
Mailing Address - Zip Code:00624
Mailing Address - Country:US
Mailing Address - Phone:787-645-3623
Mailing Address - Fax:
Practice Address - Street 1:632 PEDRO VELAZQUEZ DIAZ STREET
Practice Address - Street 2:
Practice Address - City:PENUELAS
Practice Address - State:PR
Practice Address - Zip Code:00624-1706
Practice Address - Country:US
Practice Address - Phone:787-645-3623
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
PR0000522471N0900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2471N0900XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistNuclear Medicine Technology