Provider Demographics
NPI:1477365419
Name:LOPEZ AYES, JULYANN
Entity type:Individual
Prefix:
First Name:JULYANN
Middle Name:
Last Name:LOPEZ AYES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:74 HACIENDA LA CIMA
Mailing Address - Street 2:CALLE CEIBA E-12
Mailing Address - City:CIDRA
Mailing Address - State:PR
Mailing Address - Zip Code:00739-9920
Mailing Address - Country:US
Mailing Address - Phone:787-306-4386
Mailing Address - Fax:
Practice Address - Street 1:74 HACIENDA LA CIMA
Practice Address - Street 2:CALLE CEIBA E-12
Practice Address - City:CIDRA
Practice Address - State:PR
Practice Address - Zip Code:00739-9920
Practice Address - Country:US
Practice Address - Phone:787-306-4386
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-27
Last Update Date:2025-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program