Provider Demographics
NPI:1932264090
Name:LABORDE SANFIORENZO, JANINE (MD)
Entity Type:Individual
Prefix:DR
First Name:JANINE
Middle Name:
Last Name:LABORDE SANFIORENZO
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:AVE. DOMENECH 400, SUITE 505
Mailing Address - Street 2:LAS AMERICAS PROFESSIONAL CENTER
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00918-5000
Mailing Address - Country:US
Mailing Address - Phone:787-753-8266
Mailing Address - Fax:787-753-8266
Practice Address - Street 1:AVE. DOMENECH 400, SUITE 505
Practice Address - Street 2:LAS AMERICAS PROFESSIONAL CENTER
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00918-5000
Practice Address - Country:US
Practice Address - Phone:787-753-8266
Practice Address - Fax:787-753-8266
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-27
Last Update Date:2010-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR14603207R00000X, 2083P0500X, 2083P0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No2083P0500XAllopathic & Osteopathic PhysiciansPreventive MedicinePreventive Medicine/Occupational Environmental Medicine
No2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine