Basic Information
Provider Information
NPI: 1154390664
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: LAMBOY
FirstName: AUREA
MiddleName: M
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 11913
Address2:  
City: SAN JUAN
State: PR
PostalCode: 009221913
CountryCode: US
TelephoneNumber: 7879990753
FaxNumber: 7878417228
Practice Location
Address1: 1451 ASHFORD
Address2: CONDADO
City: SAN JUAN
State: PR
PostalCode: 009071511
CountryCode: US
TelephoneNumber: 7879990753
FaxNumber: 7879990790
Other Information
ProviderEnumerationDate: 03/16/2006
LastUpdateDate: 01/17/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208000000X11432PRY Allopathic & Osteopathic PhysiciansPediatrics 

No ID Information.


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