Basic Information
| Provider Information | |||||||||
| NPI: | 1912145913 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | LABOY DESCARTES | ||||||||
| FirstName: | JOED | ||||||||
| MiddleName: | MARIE | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1604 CALLE LOIZA | ||||||||
| Address2: | SUITE 2 | ||||||||
| City: | SAN JUAN | ||||||||
| State: | PR | ||||||||
| PostalCode: | 00911 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7874672722 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | HOSPITAL PAVIA SANTURCE-EMERGENCY ROOM | ||||||||
| Address2: | 1462 CALLE ASIA | ||||||||
| City: | SAN JUAN | ||||||||
| State: | PR | ||||||||
| PostalCode: | 00907 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7877276060 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/28/2009 | ||||||||
| LastUpdateDate: | 08/13/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 08/13/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208D00000X | 17397 | PR | Y | Allopathic & Osteopathic Physicians | General Practice |
No ID Information.