Provider Demographics
NPI:1932176633
Name:LOPEZ MARRERO, LORENA L (DC)
Entity Type:Individual
Prefix:DR
First Name:LORENA
Middle Name:L
Last Name:LOPEZ MARRERO
Suffix:
Gender:F
Credentials:DC
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 1957
Mailing Address - Street 2:
Mailing Address - City:ISABELA
Mailing Address - State:PR
Mailing Address - Zip Code:00662-1957
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:57 CALLE OTERO
Practice Address - Street 2:
Practice Address - City:ISABELA
Practice Address - State:PR
Practice Address - Zip Code:00662-3010
Practice Address - Country:US
Practice Address - Phone:787-872-6699
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-03-02
Last Update Date:2021-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR401111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR660653146OtherCOSVI
PR6606531461OtherMCS PERSONAL
PRA184OtherFIRST MEDICAL (IMC)
PR57402OtherTRIPLE S (CORP)
PR660653146OtherCIGNA
PR660653146OtherMAPFRE
PR100893OtherLA CRUZ AZUL
PR233091OtherPREFFERED HEALTH
PR6590084OtherHUMANA
PR0057214OtherTRIPLES
PR602101OtherMMM
PR0057214OtherMEDICARE OPTIMO
PR50541OtherPREFFERED MEDICARE CHOICE
PR57402OtherTRIPLE S (CORP)
PRV06196Medicare UPIN