Provider Demographics
NPI:1932946795
Name:ALAMO LOPEZ, KEISHLA
Entity type:Individual
Prefix:
First Name:KEISHLA
Middle Name:
Last Name:ALAMO 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:E42 AVE RICKY SEDA
Mailing Address - Street 2:
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00727-5726
Mailing Address - Country:US
Mailing Address - Phone:787-612-2326
Mailing Address - Fax:
Practice Address - Street 1:17 AVE. DEGETAU
Practice Address - Street 2:URB. BONEVILLE HEIGHTS
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00727-2366
Practice Address - Country:US
Practice Address - Phone:939-383-4834
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-10
Last Update Date:2025-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR0075782355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant