Healthcare Provider Details

I. General information

NPI: 1396559019
Provider Name (Legal Business Name): RAQUEL ALMEIDA LOPES NEVES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/04/2025
Last Update Date: 02/04/2025
Certification Date: 02/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2880 TORREY PINES SCENIC DR DEPT OF
LA JOLLA CA
92037-1004
US

IV. Provider business mailing address

2160 PRESERVE DR NW
ROCHESTER MN
55901-6044
US

V. Phone/Fax

Practice location:
  • Phone: 858-966-4032
  • Fax:
Mailing address:
  • Phone: 507-202-1988
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: