Provider Demographics
NPI:1265578132
Name:LOPEZ, ZULMA ENID (RN)
Entity type:Individual
Prefix:
First Name:ZULMA
Middle Name:ENID
Last Name:LOPEZ
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 8254
Mailing Address - Street 2:
Mailing Address - City:HUMACAO
Mailing Address - State:PR
Mailing Address - Zip Code:00792-8254
Mailing Address - Country:US
Mailing Address - Phone:787-850-2773
Mailing Address - Fax:
Practice Address - Street 1:CALLE ULISES MARTINEZ
Practice Address - Street 2:ESQUINA MUNOZ MARIN # 56
Practice Address - City:HUMACAO
Practice Address - State:PR
Practice Address - Zip Code:00791
Practice Address - Country:US
Practice Address - Phone:787-850-2773
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR02294163WG0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice