Provider Demographics
NPI:1629279963
Name:LOZADA, ERIKA (MSW)
Entity Type:Individual
Prefix:
First Name:ERIKA
Middle Name:
Last Name:LOZADA
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CALLE LUIS VIGO
Mailing Address - Street 2:H-14
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00987-6808
Mailing Address - Country:US
Mailing Address - Phone:787-356-8033
Mailing Address - Fax:787-760-1598
Practice Address - Street 1:RR 9 BOX 887
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00926-9935
Practice Address - Country:US
Practice Address - Phone:787-755-6811
Practice Address - Fax:787-760-1598
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-31
Last Update Date:2010-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR6881251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health