Provider Demographics
NPI:1407080856
Name:LABOY-OLIVIERI, CARLOS (MD)
Entity Type:Individual
Prefix:
First Name:CARLOS
Middle Name:
Last Name:LABOY-OLIVIERI
Suffix:
Gender:M
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:PO BOX 801027
Mailing Address - Street 2:
Mailing Address - City:COTO LAUREL
Mailing Address - State:PR
Mailing Address - Zip Code:00780-1027
Mailing Address - Country:US
Mailing Address - Phone:787-613-7725
Mailing Address - Fax:
Practice Address - Street 1:8050 COND SAN JUAN CHALETS
Practice Address - Street 2:STREET 844 KM 1.2
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00926-9885
Practice Address - Country:US
Practice Address - Phone:787-613-7725
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-13
Last Update Date:2017-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR18384207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology