Provider Demographics
NPI:1255780649
Name:LOPEZ NEGRON, KARILYN (RD)
Entity type:Individual
Prefix:
First Name:KARILYN
Middle Name:
Last Name:LOPEZ NEGRON
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:320 VALLE DE TORRIMAR
Mailing Address - Street 2:
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00966-8706
Mailing Address - Country:US
Mailing Address - Phone:787-632-9257
Mailing Address - Fax:787-999-5539
Practice Address - Street 1:1260 CALLE 54 SE
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00921-3143
Practice Address - Country:US
Practice Address - Phone:787-999-5538
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-07
Last Update Date:2024-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1556133VN1005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133VN1005XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Renal