Provider Demographics
NPI:1184846024
Name:LABOY, NYDIA
Entity Type:Individual
Prefix:
First Name:NYDIA
Middle Name:
Last Name:LABOY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:38 CALLE MUNOZ RIVERA
Mailing Address - Street 2:
Mailing Address - City:PATILLAS
Mailing Address - State:PR
Mailing Address - Zip Code:00723-2610
Mailing Address - Country:US
Mailing Address - Phone:787-839-5025
Mailing Address - Fax:787-839-3219
Practice Address - Street 1:38 CALLE MUNOZ RIVERA
Practice Address - Street 2:
Practice Address - City:PATILLAS
Practice Address - State:PR
Practice Address - Zip Code:00723-2610
Practice Address - Country:US
Practice Address - Phone:787-839-5025
Practice Address - Fax:787-839-3219
Is Sole Proprietor?:No
Enumeration Date:2007-05-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR4177183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician