| Doctor Name: | DR. BRENDA I. LOPEZ |
| NPI Number: | 1043349590 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | 14555 |
| Business Practice Address: | La Fe Plaza A-3 Bo. Sabana Llana Juana Diaz, PR - 00795 |
| Business Phone Number: | 7872601980 |
| Business Fax Number: | 7872601980 |
| Mailing Address: | Urb. Perla Del Sur #2785 Calle Las Carrozas, PONCE |
| State: | PR |
| Postal Code: | 00717 |
| Phone Number: | 7878447904 |
| Fax Number: | 7878447904 |
| NPI Enumeration Date: | 03/02/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 14555 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |