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NPI Code Detail

MEDICARE: VANESSA LOPEZ RIOS PSYD

MEDICARE: VANESSA LOPEZ RIOS PSYD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC0700XClinical Psychologist2186PR

General Provider Information

NPI Number : 1053140764
Entity Type Code : Individual
Provider Name (Legal Business Name) : VANESSA LOPEZ RIOS PSYD
Provider Business Mailing Address
First Line : RR 5 BOX 8760
Second Line :
City : BAYAMON
State : PR
Zip : 00956-9759
Country : US
Telephone Number : 787-503-8889
Fax Number :
Provider Business Practice Location Address
First Line : 1808 AVE DEL VALLE
Second Line :
City : TOA BAJA
State : PR
Zip : 00949-3901
Country : US
Telephone Number : 787-503-8889
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/31/2024
Last Update Date : 07/31/2024

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Directions to “ VANESSA LOPEZ RIOS PSYD” Practice Location

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