Provider Demographics
NPI:1275655052
Name:LAMBOY-SANCHEZ, IRMA NIDIA (MEDICAL DOCTOR)
Entity Type:Individual
Prefix:
First Name:IRMA
Middle Name:NIDIA
Last Name:LAMBOY-SANCHEZ
Suffix:
Gender:F
Credentials:MEDICAL DOCTOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CONVENIENCIA ST #1402
Mailing Address - Street 2:SUITE 701
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00907
Mailing Address - Country:US
Mailing Address - Phone:787-723-4582
Mailing Address - Fax:787-724-5238
Practice Address - Street 1:CONVENIENCIA ST #1402
Practice Address - Street 2:SUITE 701
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00907
Practice Address - Country:US
Practice Address - Phone:787-723-4582
Practice Address - Fax:787-724-5238
Is Sole Proprietor?:No
Enumeration Date:2007-04-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PRLIC 05345208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics