Healthcare Provider Details

I. General information

NPI: 1225968993
Provider Name (Legal Business Name): NEFER AESTHETIC CLINIC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/22/2026
Last Update Date: 05/22/2026
Certification Date: 05/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

51-38 AVE MAIN
BAYAMON PR
00959-6636
US

IV. Provider business mailing address

PO BOX 1792
SABANA SECA PR
00952-1792
US

V. Phone/Fax

Practice location:
  • Phone: 939-440-4140
  • Fax:
Mailing address:
  • Phone: 787-530-0071
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: CHRISTIAN J LOPEZ
Title or Position: CEO & FOUNDER
Credential:
Phone: 787-530-0071