Provider Demographics
NPI:1558488775
Name:LABOY, MIRZIA (MD)
Entity Type:Individual
Prefix:DR
First Name:MIRZIA
Middle Name:
Last Name: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:PO BOX 934
Mailing Address - Street 2:
Mailing Address - City:BARRANQUITAS
Mailing Address - State:PR
Mailing Address - Zip Code:00794-0934
Mailing Address - Country:US
Mailing Address - Phone:787-857-1145
Mailing Address - Fax:
Practice Address - Street 1:CARR 152 INTERIOR BARRIO QUEBRADA
Practice Address - Street 2:SECTOR TRES CAMINOS
Practice Address - City:BARRANQUITAS
Practice Address - State:PR
Practice Address - Zip Code:00794
Practice Address - Country:US
Practice Address - Phone:787-857-1145
Practice Address - Fax:787-857-1145
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR15914208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice