Provider Demographics
NPI:1679012090
Name:LOPEZ-CEPERO, NATALIA (MS CCC SLP)
Entity Type:Individual
Prefix:
First Name:NATALIA
Middle Name:
Last Name:LOPEZ-CEPERO
Suffix:
Gender:F
Credentials:MS CCC SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:525 AVE ESCORIAL
Mailing Address - Street 2:
Mailing Address - City:CAPARRA HEIGHTS
Mailing Address - State:PR
Mailing Address - Zip Code:00920
Mailing Address - Country:US
Mailing Address - Phone:787-645-5850
Mailing Address - Fax:
Practice Address - Street 1:525 AVE ESCORIAL
Practice Address - Street 2:
Practice Address - City:CAPARRA HEIGHTS
Practice Address - State:PR
Practice Address - Zip Code:00920
Practice Address - Country:US
Practice Address - Phone:787-645-5850
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-17
Last Update Date:2017-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist