Provider Demographics
NPI:1962494799
Name:LOPEZ-LOPEZ, YOLANDA (MD)
Entity Type:Individual
Prefix:
First Name:YOLANDA
Middle Name:
Last Name:LOPEZ-LOPEZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:66 CALLE SANTA CRUZ
Mailing Address - Street 2:SUITE 307 INSTITUTO SAN PABLO
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00961-7041
Mailing Address - Country:US
Mailing Address - Phone:787-798-8486
Mailing Address - Fax:787-740-7170
Practice Address - Street 1:66 CALLE SANTA CRUZ
Practice Address - Street 2:SUITE 307 INSTITUTO SAN PABLO
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00961-7041
Practice Address - Country:US
Practice Address - Phone:787-798-8486
Practice Address - Fax:787-740-7170
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-18
Last Update Date:2007-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR6956207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR224052OtherPREFFERED HEALTH
PR28900LOOtherTRIPLE S
PR3174OtherPREFFERED MEDICARE CHOICE
PRSE1188OtherPAN AMERICAN LIFE
PR068925OtherCRUZ AZUL
PR601406OtherMEDICARE Y MUCHO MAS
PR8000138OtherHUMANA INSURANCE
PR8000138OtherHUMANA INSURANCE
PRDO8482Medicare UPIN