Provider Demographics
NPI:1477435758
Name:UN DIA A LA VEZ LLC
Entity type:Organization
Organization Name:UN DIA A LA VEZ LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL PSYCHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:ROSA
Authorized Official - Middle Name:
Authorized Official - Last Name:LOPEZ OTERO
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:717-982-3123
Mailing Address - Street 1:1208 AMBER LN
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17111-3106
Mailing Address - Country:US
Mailing Address - Phone:717-982-3123
Mailing Address - Fax:
Practice Address - Street 1:CARR 857 KM8 HM9 BO CARRUZOS
Practice Address - Street 2:
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00987
Practice Address - Country:US
Practice Address - Phone:717-982-3123
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-25
Last Update Date:2025-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty