Provider Demographics
NPI:1134928351
Name:LOPEZ-TAPIA, RAFAELA Y
Entity type:Individual
Prefix:
First Name:RAFAELA
Middle Name:Y
Last Name:LOPEZ-TAPIA
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8245 NORTHWOODS DR APT 103
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68505-3018
Mailing Address - Country:US
Mailing Address - Phone:308-325-8385
Mailing Address - Fax:
Practice Address - Street 1:1718 SAWYER ST
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68505-3697
Practice Address - Country:US
Practice Address - Phone:308-325-8385
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-10
Last Update Date:2025-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child