Provider Demographics
NPI:1073404737
Name:LOPEZ MARTINEZ, MARIA M
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:M
Last Name:LOPEZ MARTINEZ
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:K3 CALLE PINO
Mailing Address - Street 2:
Mailing Address - City:SAN SEBASTIAN
Mailing Address - State:PR
Mailing Address - Zip Code:00685-2914
Mailing Address - Country:US
Mailing Address - Phone:787-232-8627
Mailing Address - Fax:
Practice Address - Street 1:K3 CALLE PINO
Practice Address - Street 2:
Practice Address - City:SAN SEBASTIAN
Practice Address - State:PR
Practice Address - Zip Code:00685-2914
Practice Address - Country:US
Practice Address - Phone:787-232-8627
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-11
Last Update Date:2025-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling