Provider Demographics
NPI:1194293886
Name:ARBELO LOPEZ, NAISHA MARIE
Entity type:Individual
Prefix:
First Name:NAISHA
Middle Name:MARIE
Last Name:ARBELO LOPEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HC 4 BOX 17522
Mailing Address - Street 2:
Mailing Address - City:CAMUY
Mailing Address - State:PR
Mailing Address - Zip Code:00627-9501
Mailing Address - Country:US
Mailing Address - Phone:939-287-3460
Mailing Address - Fax:
Practice Address - Street 1:CARR 119 KM 5.5 INT BO PUENTE
Practice Address - Street 2:
Practice Address - City:CAMUY
Practice Address - State:PR
Practice Address - Zip Code:00627-9501
Practice Address - Country:US
Practice Address - Phone:939-287-3460
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-12
Last Update Date:2025-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR6961103T00000X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty