Provider Demographics
NPI:1811514888
Name:LOPEZ PEREZ, FRANCISCO (NATUROPATA LIC)
Entity type:Individual
Prefix:
First Name:FRANCISCO
Middle Name:
Last Name:LOPEZ PEREZ
Suffix:
Gender:M
Credentials:NATUROPATA LIC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 162
Mailing Address - Street 2:
Mailing Address - City:CATANO
Mailing Address - State:PR
Mailing Address - Zip Code:00963-0162
Mailing Address - Country:US
Mailing Address - Phone:787-594-8188
Mailing Address - Fax:
Practice Address - Street 1:CALLE ANTONIO BLANCO FN-10 6TA SECCION LEVITTOWN
Practice Address - Street 2:
Practice Address - City:TOA BAJA
Practice Address - State:PR
Practice Address - Zip Code:00949
Practice Address - Country:US
Practice Address - Phone:787-594-8188
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-25
Last Update Date:2020-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR032175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath
Provider Identifiers
StateIdentifier IDID TypeIssuer
032OtherNATUROPATH