Provider Demographics
NPI:1962945311
Name:LOPEZ-ALMA, WANDA L (MT,MS)
Entity type:Individual
Prefix:
First Name:WANDA
Middle Name:L
Last Name:LOPEZ-ALMA
Suffix:
Gender:F
Credentials:MT,MS
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Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:20 CALLE 65 INFANTERIA SUR
Mailing Address - Street 2:SUITE 2
Mailing Address - City:LAJAS
Mailing Address - State:PUERTO RICO
Mailing Address - Zip Code:00667
Mailing Address - Country:UM
Mailing Address - Phone:787-899-3670
Mailing Address - Fax:787-899-2163
Practice Address - Street 1:20 CALLE 65 INFNTRIA S
Practice Address - Street 2:SUITE 2
Practice Address - City:LAJAS
Practice Address - State:PR
Practice Address - Zip Code:00667-2013
Practice Address - Country:US
Practice Address - Phone:787-899-3670
Practice Address - Fax:787-899-2163
Is Sole Proprietor?:Yes
Enumeration Date:2016-12-02
Last Update Date:2016-12-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR3672246QL0900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246QL0900XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, PathologyLaboratory Management