Provider Demographics
NPI:1972633162
Name:LOPEZ, MARINA (ASSISTANCE PHARMACIS)
Entity type:Individual
Prefix:MRS
First Name:MARINA
Middle Name:
Last Name:LOPEZ
Suffix:
Gender:F
Credentials:ASSISTANCE PHARMACIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:C20 CALLE 3
Mailing Address - Street 2:CASTELLANA GARDENS
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00983-2164
Mailing Address - Country:US
Mailing Address - Phone:787-564-8378
Mailing Address - Fax:
Practice Address - Street 1:C20 CALLE 3
Practice Address - Street 2:CASTELLANA GARDENS
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00983-2164
Practice Address - Country:US
Practice Address - Phone:787-564-8378
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR3814183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR3814OtherASSISTANCE PHARMACIST