Doctor Name: | MATEO LORENZO LOPEZ |
NPI Number: | 1134433477 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | |
Business Practice Address: | 94-1007 Hiapo St Waipahu, HI - 967973709 |
Business Phone Number: | 8086888033 |
Business Fax Number: | 8087724316 |
Mailing Address: | 94-1007 Hiapo St, WAIPAHU |
State: | HI |
Postal Code: | 967973709 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 07/28/2010 |
NPI Last Update Date: | 07/28/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 310400000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Nursing & Custodial Care Facilities |
Taxonomy Classification: | Assisted Living Facility |
Taxonomy Specialization: | |
Taxonomy Definition: | A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |