Healthcare Provider Details

I. General information

NPI: 1265946479
Provider Name (Legal Business Name): ARNALDO LOPEZ M.A L.P.C
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/27/2017
Last Update Date: 08/06/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

92 URB CATALANA STE 2
BARCELONETA PR
00617-2526
US

IV. Provider business mailing address

PO BOX 30400 PMB 171
MANATI PR
00674
US

V. Phone/Fax

Practice location:
  • Phone: 939-400-8809
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number4396
License Number StatePR
# 2
Primary TaxonomyN
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number1060281
License Number StatePR
# 3
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number4396
License Number StatePR

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: