Provider Demographics
NPI:1265404362
Name:LOPEZ, ANA N (DMD,MPH)
Entity type:Individual
Prefix:DR
First Name:ANA
Middle Name:N
Last Name:LOPEZ
Suffix:
Gender:F
Credentials:DMD,MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:URB. ENTRERIOS , #99 PLAZA SILVESTRE STREET
Mailing Address - Street 2:
Mailing Address - City:TRUJILLO ALTO
Mailing Address - State:PR
Mailing Address - Zip Code:00976
Mailing Address - Country:US
Mailing Address - Phone:787-758-2525
Mailing Address - Fax:787-766-0757
Practice Address - Street 1:#99 PLAZA SILVESTRE STREET, URB. ENTRERIOS
Practice Address - Street 2:
Practice Address - City:TRUJILLO ALTO
Practice Address - State:PR
Practice Address - Zip Code:00976
Practice Address - Country:US
Practice Address - Phone:787-760-7859
Practice Address - Fax:787-766-0757
Is Sole Proprietor?:No
Enumeration Date:2006-02-02
Last Update Date:2009-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1637122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist