Provider Demographics
NPI:1073681250
Name:RAMOS, LUIS LABOY (PH)
Entity type:Individual
Prefix:
First Name:LUIS LABOY
Middle Name:
Last Name:RAMOS
Suffix:
Gender:M
Credentials:PH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HC 645 BOX 6456
Mailing Address - Street 2:
Mailing Address - City:TRUJILLO ALTO
Mailing Address - State:PR
Mailing Address - Zip Code:00976-9739
Mailing Address - Country:US
Mailing Address - Phone:787-755-0748
Mailing Address - Fax:
Practice Address - Street 1:CALLE DR BARRERAS ESQ CORCHADO
Practice Address - Street 2:
Practice Address - City:JUNCOS
Practice Address - State:PR
Practice Address - Zip Code:00777
Practice Address - Country:US
Practice Address - Phone:787-734-5591
Practice Address - Fax:787-713-0906
Is Sole Proprietor?:No
Enumeration Date:2006-12-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR2726183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR2726OtherSTATE LICENSE