Ray R Laboy Espada, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

15042 Issued in PR

Practice address

107 H St East
DHHS-IHS-Poplar Health Clinic
Poplar, MT 59255

Phone

(406) 768-2150

Fax

(406) 768-3603

NPI assigned

Jun 4, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NM

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Frances Mahon Deaconess Hospital

  • Critical Access Hospital
  • Glasgow, MT
  • NPI 1689685323
  NPD (past)
• Home Medic Coordination

  • General Practice Physician
  • Santa Isabel, PR
  • NPI 1104923689
  NPD (past)
• Municipio de Humacao

  dba CDT Dr Jorge Franceschi

  • General Acute Care Hospital
  • Humacao, PR
  • NPI 1538100946
  NPD (past)
• Municipio de Maunabo

  • Rural Acute Care Hospital
  • Maunabo, PR
  • NPI 1932171790
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321574400000",
    "number": "1124066741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 H ST EAST",
            "address_2": "DHHS-IHS-POPLAR HEALTH CLINIC",
            "city": "POPLAR",
            "state": "MT",
            "postal_code": "59255",
            "telephone_number": "406-768-2150",
            "fax_number": "406-768-3603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 H ST EAST",
            "address_2": "DHHS-IHS-POPLAR HEALTH CLINIC",
            "city": "POPLAR",
            "state": "MT",
            "postal_code": "59255",
            "telephone_number": "406-768-2150",
            "fax_number": "406-768-3603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LABOY ESPADA",
        "first_name": "RAY",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-04",
        "last_updated": "2011-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PR",
            "license": "15042",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "15042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Emi Kajiwara-Nelson, M.S.
• Scott D Kinzie, RN
• David Michael Korkowski, MLT (ASCP)
• Mark Wray Korman
• Lila E Kukowski, MT
• Lindsay Land, RN
• Judith A Lauridsen, CNP
• Olivia Lorentz
• Holly Macfarlane
• Carrie L Manning

• General Practice Physician in Poplar, MT
• Providers in Poplar, MT by specialty
• General Practice Physician in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.