Aydin Andino Lopez

Individual provider Active NPI Counseling Psychologist · Canovanas, PR

NPI 1003575408 · NPPES record last updated Dec 13, 2021

Key facts

NPI
1003575408
Entity type
Individual (NPI type 1)
Primary specialty
Counseling Psychologist 103TC1900X
License
7112 (PR)
Practice address
TT15 Calle 28a
Canovanas, PR 00729-4131
Phone
(787) 908-8577
NPI assigned
Dec 13, 2021
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
7112PRMDNeuropathology Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 7112 PR Yes

Addresses

Primary practice location

TT15 Calle 28a
Canovanas, PR 00729-4131

Mailing address

TT5 Calle 28a
Canovanas, PR 00729-4169
Phone (787) 908-8577

Other providers in Canovanas, PR

All providers in Canovanas, PR · Counseling Psychologist in Puerto Rico

Sources for this page

Verify at the official NPI Registry.