Provider Demographics
NPI:1770229932
Name:LLOPIZ, ROSA ISELA
Entity Type:Individual
Prefix:
First Name:ROSA
Middle Name:ISELA
Last Name:LLOPIZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:URB. LEVITTOWN LAKES
Mailing Address - Street 2:C/JOSE MATIAS CUXACHS JA7
Mailing Address - City:TOA BAJA
Mailing Address - State:PR
Mailing Address - Zip Code:00949
Mailing Address - Country:US
Mailing Address - Phone:939-207-4558
Mailing Address - Fax:
Practice Address - Street 1:J11 AVE BETANCES
Practice Address - Street 2:
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00959-5108
Practice Address - Country:US
Practice Address - Phone:939-207-4558
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-10
Last Update Date:2022-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR80489163WG0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice