Provider Demographics
NPI:1851883581
Name:ROMAN LOPEZ, SUELY J (MD, MPH)
Entity type:Individual
Prefix:DR
First Name:SUELY
Middle Name:J
Last Name:ROMAN LOPEZ
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:DR
Other - First Name:SUELLY
Other - Middle Name:
Other - Last Name:ROMAN LOPEZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD, MPH
Mailing Address - Street 1:PO BOX 140912
Mailing Address - Street 2:
Mailing Address - City:ARECIBO
Mailing Address - State:PR
Mailing Address - Zip Code:00614-0912
Mailing Address - Country:US
Mailing Address - Phone:787-239-4241
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 140912
Practice Address - Street 2:
Practice Address - City:ARECIBO
Practice Address - State:PR
Practice Address - Zip Code:00614-0912
Practice Address - Country:US
Practice Address - Phone:787-239-4241
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-05-30
Last Update Date:2025-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXBP10063755207R00000X
FL33494390200000X
PR24378207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program