Most Relevant Information
Provider Data
| NPI Number: | 1003826637 |
| Provider Name: | LIZAIDA LOPEZ PSY.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 103TC0700X |
| Specialty: | Psychologist |
| License Number: | 1909 |
Most Important Dates
| Enumeration Date: | 08/08/2006 |
| Last Updated: | 07/21/2022 |
Provider Practice Location
1994 AVE EMILIANO POL
LA ALAMEDA
SAN JUAN
PR
009265502
Practice Location Phone/Fax
| Phone: | 7875106084 |
| Fax: |
Provider Mailing Location
1979 CALLE SAUCO
SAN RAMN
GUAYNABO
PR
009693938
Provider Mailing Phone/Fax
| Phone: | 7875106084 |
| Fax: |