Provider Demographics
NPI:1861511495
Name:GIRALDEZ CASASNOVAS, LAUREANO J (MD)
Entity Type:Individual
Prefix:DR
First Name:LAUREANO
Middle Name:J
Last Name:GIRALDEZ CASASNOVAS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
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:787-763-1187
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:787-763-1187
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-28
Last Update Date:2010-03-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR4887208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR25982OtherSSS
PR9260057OtherHUMANA
PR25982OtherSSS
PR9260057OtherHUMANA