Provider Demographics
NPI:1326275629
Name:LABOY, PILAR (MS CCC SLP)
Entity Type:Individual
Prefix:PROF
First Name:PILAR
Middle Name:
Last Name:LABOY
Suffix:
Gender:F
Credentials:MS CCC SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 365067
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00936-5067
Mailing Address - Country:US
Mailing Address - Phone:787-300-3838
Mailing Address - Fax:787-765-0854
Practice Address - Street 1:COND AMERICAS # 1136
Practice Address - Street 2:REPARTO METROPOLITANO
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00909-2152
Practice Address - Country:US
Practice Address - Phone:787-300-3838
Practice Address - Fax:787-765-0854
Is Sole Proprietor?:No
Enumeration Date:2009-06-15
Last Update Date:2009-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR565235Z00000X
NY008839235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR565OtherPROFESIONAL LICENSE