Provider Demographics
NPI:1225039456
Name:NOYA, LAURA MARIA (DMD)
Entity Type:Individual
Prefix:DR
First Name:LAURA
Middle Name:MARIA
Last Name:NOYA
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:904 CALLE MARTI
Mailing Address - Street 2:SUITE A-1
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00907-3302
Mailing Address - Country:US
Mailing Address - Phone:787-723-2140
Mailing Address - Fax:787-725-5214
Practice Address - Street 1:904 CALLE MARTI
Practice Address - Street 2:SUITE A-1
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00907-3302
Practice Address - Country:US
Practice Address - Phone:787-723-2140
Practice Address - Fax:787-725-5214
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR13051223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice