Joancy Marie Archeval Lao
Individual provider Active NPI General Practice Physician · Dorado, PR
NPI 1093666877 · NPPES record last updated Feb 6, 2026
Key facts
- NPI
- 1093666877
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Physician 208D00000X
- License
- 17378-I (PR)
- Practice address
- 900 PR-696
Dorado, PR 00646 - Phone
- (713) 471-0793
- NPI assigned
- Feb 6, 2026
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17378-I | PR | MD | General Practice Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 17378-I | PR | Yes |
Addresses
Primary practice location
900 PR-696
Dorado, PR 00646
Mailing address
3614 Calle Santa Juanita
Ponce, PR 00730-4626
Phone (713) 471-0793
Other providers in Dorado, PR
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- Jose Antonio Aracena Senior Sr.
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- Arraut Medical Center PSC
- Harley Arraut-White
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- Assistive Technology Specialists, Inc.
All providers in Dorado, PR · General Practice Physician in Puerto Rico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 6, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.