Healthcare Provider Details

I. General information

NPI: 1508779158
Provider Name (Legal Business Name): MARJORIE LOPEZ-NIEVES PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/24/2026
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9 CALLE GEORGETTI
BARCELONETA PR
00617-2712
US

IV. Provider business mailing address

998 CALLE SAN ROBERTO
SAN JUAN PR
00926-2731
US

V. Phone/Fax

Practice location:
  • Phone: 787-846-3474
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number8286
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: