| Doctor Name: | NYDIA GONZALEZ LOPEZ |
| NPI Number: | 1538312293 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | SLP |
| License Number: | 824 |
| Business Practice Address: | Hc 1 Box 26910 Caguas, PR - 007258933 |
| Business Phone Number: | 7879482866 |
| Business Fax Number: | 7877376493 |
| Mailing Address: | Km 6.4 Marina Plaza Suite 17, Street 189 GURABO |
| State: | PR |
| Postal Code: | 007780000 |
| Phone Number: | 7879482866 |
| Fax Number: | 7877376493 |
| NPI Enumeration Date: | 10/28/2008 |
| NPI Last Update Date: | 11/18/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 824 |
| 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 |