Provider Demographics
NPI:1164759171
Name:LOPEZ RIVERA, ALMA ROSA (PSYD)
Entity type:Individual
Prefix:DR
First Name:ALMA
Middle Name:ROSA
Last Name:LOPEZ RIVERA
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HC 8 BOX 1320
Mailing Address - Street 2:
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00731-9548
Mailing Address - Country:US
Mailing Address - Phone:939-217-6739
Mailing Address - Fax:
Practice Address - Street 1:2188 PONCE BYP
Practice Address - Street 2:
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00716-0315
Practice Address - Country:US
Practice Address - Phone:787-223-2029
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-11-11
Last Update Date:2025-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR2865103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR1780798256OtherADMAR CLINICAL AND CONSULTANT SERVICES