Racquel Liza Punzalan Labutay, R.N.

Primary specialty

Critical Care Medicine Registered NurseTaxonomy code 163WC0200X

License

483689 Issued in CA

Practice address

1100 Veterans Blvd
Redwood City, CA 94063-2037

Phone

(650) 299-2195

NPI assigned

Oct 26, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1477440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477440000000",
    "number": "1427500495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4104 BRANSON DR",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944033613",
            "telephone_number": "650-346-3162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 VETERANS BLVD",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940632037",
            "telephone_number": "650-299-2195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LABUTAY",
        "first_name": "RACQUEL",
        "middle_name": "LIZA PUNZALAN",
        "name_prefix": "Mrs.",
        "credential": "R.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-26",
        "last_updated": "2016-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "CA",
            "license": "483689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Anthony Martins La Rosa, DPT
• La Vita Clinic
• Alicia La, DO
• Janet La, MD
• Robert Rollo Laberge, L.M.F.T.
• Danielle Lacampagne
• Ellice Lacerda
• Anna Elizabeth Lachenauer, MD
• Catherine Lacroix
• Michelle Marie Lacues, D.D.S.

• Critical Care Medicine Registered Nurse in Redwood City, CA
• Providers in Redwood City, CA by specialty
• Critical Care Medicine Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.