Provider Demographics
NPI:1326037904
Name:RODRIGUEZ LABOY, BETSY (MD)
Entity Type:Individual
Prefix:
First Name:BETSY
Middle Name:
Last Name:RODRIGUEZ LABOY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:URB LAS DELICIAS 1204
Mailing Address - Street 2:CALLE FRANCISCO VASALLO
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00728-3838
Mailing Address - Country:US
Mailing Address - Phone:787-843-2161
Mailing Address - Fax:787-840-3510
Practice Address - Street 1:13 CALLE MATTEI LLUBERAS
Practice Address - Street 2:
Practice Address - City:YAUCO
Practice Address - State:PR
Practice Address - Zip Code:00698-3640
Practice Address - Country:US
Practice Address - Phone:787-856-3380
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR8597207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
061090OtherCRUZ AZUL
M8597OtherMAPFRE
82610 ROOtherTRIPPLE SSS
9900174OtherHUMANA
9900174OtherHUMANA