Provider Demographics
NPI:1881016582
Name:LOPEZ, NARLYN
Entity Type:Individual
Prefix:MRS
First Name:NARLYN
Middle Name:
Last Name:LOPEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:NARLYN
Other - Middle Name:
Other - Last Name:LOPEZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MSW
Mailing Address - Street 1:BO. JAGUA TUNA CALLE 6
Mailing Address - Street 2:#84
Mailing Address - City:GUAYANILLA
Mailing Address - State:PR
Mailing Address - Zip Code:00656-3334
Mailing Address - Country:US
Mailing Address - Phone:787-470-4796
Mailing Address - Fax:
Practice Address - Street 1:BO. JAGUA TUNA CALLE 6
Practice Address - Street 2:#84
Practice Address - City:GUAYANILLA
Practice Address - State:PR
Practice Address - Zip Code:00656-3334
Practice Address - Country:US
Practice Address - Phone:787-470-4796
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-01-15
Last Update Date:2014-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR116331041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical