Healthcare Provider Details

I. General information

NPI: 1427952498
Provider Name (Legal Business Name): KALEIAMY LOPEZ MS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/05/2026
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CARR 362 KM 4.3, BARRIO GUAMA
SAN GERMAN PR
00683
US

IV. Provider business mailing address

PO BOX 493
HORMIGUEROS PR
00660-0493
US

V. Phone/Fax

Practice location:
  • Phone: 787-327-6120
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number9062
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: