Provider Demographics
NPI:1700297595
Name:LOPEZ RUIZ, YOMAIRA ENID (MHS)
Entity Type:Individual
Prefix:
First Name:YOMAIRA
Middle Name:ENID
Last Name:LOPEZ RUIZ
Suffix:
Gender:F
Credentials:MHS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:RR 01 BUZON 3916
Mailing Address - Street 2:BARRIO SUD PALMA SOLA
Mailing Address - City:CIDRA
Mailing Address - State:PR
Mailing Address - Zip Code:00739-9261
Mailing Address - Country:US
Mailing Address - Phone:787-318-4045
Mailing Address - Fax:
Practice Address - Street 1:RR 4 BOX 3916
Practice Address - Street 2:BARRIO SUD PALMA SOLA
Practice Address - City:CIDRA
Practice Address - State:PR
Practice Address - Zip Code:00739-9261
Practice Address - Country:US
Practice Address - Phone:787-318-4045
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-05-14
Last Update Date:2016-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor