Provider Demographics
NPI:1457482192
Name:LABOY, OSCAR I (MD)
Entity Type:Individual
Prefix:
First Name:OSCAR
Middle Name:I
Last Name:LABOY
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 1:238 CALLE OBISPADO
Mailing Address - Street 2:
Mailing Address - City:MAYAGUEZ
Mailing Address - State:PR
Mailing Address - Zip Code:00682-7794
Mailing Address - Country:US
Mailing Address - Phone:787-834-0050
Mailing Address - Fax:787-832-8685
Practice Address - Street 1:18 CALLE POST N
Practice Address - Street 2:
Practice Address - City:MAYAGUEZ
Practice Address - State:PR
Practice Address - Zip Code:00680-6626
Practice Address - Country:US
Practice Address - Phone:787-834-0050
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR7450174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist