Provider Demographics
NPI:1609922889
Name:LOPEZ, MARIA C (TECHNICIAN PHARMACIS)
Entity Type:Individual
Prefix:MISS
First Name:MARIA
Middle Name:C
Last Name:LOPEZ
Suffix:
Gender:F
Credentials:TECHNICIAN PHARMACIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:R11 CALLE FIGUERAS
Mailing Address - Street 2:
Mailing Address - City:RIO PIEDRAS
Mailing Address - State:PR
Mailing Address - Zip Code:00926-2527
Mailing Address - Country:US
Mailing Address - Phone:787-477-2319
Mailing Address - Fax:787-783-6020
Practice Address - Street 1:R11 CALLE FIGUERAS
Practice Address - Street 2:
Practice Address - City:RIO PIEDRAS
Practice Address - State:PR
Practice Address - Zip Code:00926-2527
Practice Address - Country:US
Practice Address - Phone:787-477-2319
Practice Address - Fax:787-783-6020
Is Sole Proprietor?:No
Enumeration Date:2007-01-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR3817183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician