Provider Demographics
NPI:1528345196
Name:LABOY-ALBERT, LUIS JOSUE (PSYD)
Entity type:Individual
Prefix:DR
First Name:LUIS
Middle Name:JOSUE
Last Name:LABOY-ALBERT
Suffix:
Gender:M
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 3 BOX 12207
Mailing Address - Street 2:
Mailing Address - City:YABUCOA
Mailing Address - State:PR
Mailing Address - Zip Code:00767-9767
Mailing Address - Country:US
Mailing Address - Phone:787-559-1385
Mailing Address - Fax:
Practice Address - Street 1:HC 3 BOX 12207
Practice Address - Street 2:
Practice Address - City:YABUCOA
Practice Address - State:PR
Practice Address - Zip Code:00767-9767
Practice Address - Country:US
Practice Address - Phone:787-559-1385
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-11-10
Last Update Date:2014-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR4643103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical