Provider Demographics
NPI:1710084835
Name:PEREZ-LOPEZ, MINERVA HARO (MD)
Entity Type:Individual
Prefix:DR
First Name:MINERVA
Middle Name:HARO
Last Name:PEREZ-LOPEZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:MINERVA
Other - Middle Name:
Other - Last Name:LOPEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:950 CIRCLE DR
Mailing Address - Street 2:
Mailing Address - City:SALINAS
Mailing Address - State:CA
Mailing Address - Zip Code:93905-2150
Mailing Address - Country:US
Mailing Address - Phone:831-757-6237
Mailing Address - Fax:
Practice Address - Street 1:950 CIRCLE DR
Practice Address - Street 2:
Practice Address - City:SALINAS
Practice Address - State:CA
Practice Address - Zip Code:93905-2150
Practice Address - Country:US
Practice Address - Phone:831-757-6237
Practice Address - Fax:831-757-8458
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA91942207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine