Provider Demographics
NPI:1104469717
Name:PEREZ LABOY, DAISY R (PHARMD)
Entity type:Individual
Prefix:
First Name:DAISY
Middle Name:R
Last Name:PEREZ LABOY
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 334522
Mailing Address - Street 2:
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00733-4522
Mailing Address - Country:US
Mailing Address - Phone:787-974-5183
Mailing Address - Fax:
Practice Address - Street 1:500 CARR 1 URB ALTOS DE LA FUENTE
Practice Address - Street 2:
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00727
Practice Address - Country:US
Practice Address - Phone:787-286-8242
Practice Address - Fax:787-286-8249
Is Sole Proprietor?:No
Enumeration Date:2019-10-26
Last Update Date:2019-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR006709183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist