| Doctor Name: | MRS. IDALIS LOPEZ |
| NPI Number: | 1306272646 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS, CCC/SLP |
| License Number: | 785 |
| Business Practice Address: | 1162 Calle Finlandia Plaza De Las Fuentes Toa Alta, PR - 00953 |
| Business Phone Number: | 7876489596 |
| Business Fax Number: | |
| Mailing Address: | 1162 Calle Finlandia, Plaza De Las Fuentes TOA ALTA |
| State: | PR |
| Postal Code: | 00953 |
| Phone Number: | 7876489596 |
| Fax Number: | |
| NPI Enumeration Date: | 09/18/2013 |
| NPI Last Update Date: | 04/10/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 785 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Speech-Language Pathologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A speech pathologist is a person qualified by a master |