Provider Demographics
NPI:1851677983
Name:LAUREANO GIRALDEZ CASASNOVAS P.S.C.
Entity Type:Organization
Organization Name:LAUREANO GIRALDEZ CASASNOVAS P.S.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LAUREANO
Authorized Official - Middle Name:J
Authorized Official - Last Name:GIRALDEZ CASASNOVAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-756-8976
Mailing Address - Street 1:PO BOX 191939
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00919-1939
Mailing Address - Country:US
Mailing Address - Phone:787-756-8976
Mailing Address - Fax:
Practice Address - Street 1:505 AVE HOSTOS
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00918-3201
Practice Address - Country:US
Practice Address - Phone:787-756-8976
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-03
Last Update Date:2011-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
4887208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty