Provider Demographics
NPI:1588099337
Name:DRA.CARMENJ.LABOYTORRES PSC
Entity type:Organization
Organization Name:DRA.CARMENJ.LABOYTORRES PSC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:CARMEN
Authorized Official - Middle Name:JULIA
Authorized Official - Last Name:LABOY
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:787-847-6593
Mailing Address - Street 1:12107 CALLE TRAPICHE
Mailing Address - Street 2:URB.ESTANCIAS DEL MAYORAL
Mailing Address - City:VILLALBA
Mailing Address - State:PR
Mailing Address - Zip Code:00766
Mailing Address - Country:US
Mailing Address - Phone:787-847-6593
Mailing Address - Fax:787-847-8272
Practice Address - Street 1:12107 CALLE TRAPICHE
Practice Address - Street 2:URB.ESTANCIAS DEL MAYORAL
Practice Address - City:VILLALBA
Practice Address - State:PR
Practice Address - Zip Code:00766
Practice Address - Country:US
Practice Address - Phone:787-847-6593
Practice Address - Fax:787-847-8272
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-12
Last Update Date:2013-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty