| Doctor Name: | MRS. TANYA I LOPEZ |
| NPI Number: | 1760423222 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD |
| License Number: | 15041 |
| Business Practice Address: | 120 Calle Pavia Fernandez San Sebastian, PR - 006852285 |
| Business Phone Number: | 7874365646 |
| Business Fax Number: | 7872801335 |
| Mailing Address: | Ave. Ricardo Serrano #15, SAN SEBASTIAN |
| State: | PR |
| Postal Code: | 00685 |
| Phone Number: | 7874865646 |
| Fax Number: | 7872801335 |
| NPI Enumeration Date: | 06/08/2006 |
| NPI Last Update Date: | 12/28/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 15041 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |