Provider Demographics
NPI:1396017554
Name:LARREGOITY, LAURA P (RVT)
Entity Type:Individual
Prefix:MRS
First Name:LAURA
Middle Name:P
Last Name:LARREGOITY
Suffix:
Gender:F
Credentials:RVT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35 CALLE PARENTESIS
Mailing Address - Street 2:URB. MUNOZ RIVERA
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00969-3748
Mailing Address - Country:US
Mailing Address - Phone:787-237-7582
Mailing Address - Fax:
Practice Address - Street 1:35 CALLE PARENTESIS
Practice Address - Street 2:URB. MUNOZ RIVERA
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00969-3748
Practice Address - Country:US
Practice Address - Phone:787-237-7582
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-03
Last Update Date:2012-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR13080261QE0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QE0700XAmbulatory Health Care FacilitiesClinic/CenterEnd-Stage Renal Disease (ESRD) Treatment