Individual provider Active NPI

Osvaldo R Laboy, MD

  • Specialist
  • Ponce, PR
National Provider Identifier
1861456881
Registry record updated Dec 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
10200 Issued in PR
Practice address
Saint Lukes Memorial Hospital Ave Tito Castro 917
Lobby C
Ponce, PR 00733-6810
Phone
(787) 844-2080
Fax
(787) 842-8111
NPI assigned
Apr 14, 2006
Last updated
Dec 3, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 3, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 10200 PR Primary

Addresses

Primary practice location

Saint Lukes Memorial Hospital Ave Tito Castro 917
Lobby C
Ponce, PR 00733-6810

Mailing address

PO Box 7685
Ponce, PR 00732-7685
Phone (787) 842-8111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
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

Enrollment IDStateProvider typePAC IDDetails
I20110621000724 PR Practitioner - Internal MedicinePractitioner - Infectious Disease 5496933475 Practice locations: Coto Laurel, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1144972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228262400000",
    "number": "1861456881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7685",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007327685",
            "telephone_number": "787-842-8111",
            "fax_number": "787-842-8111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SAINT LUKES MEMORIAL HOSPITAL AVE TITO CASTRO 917",
            "address_2": "LOBBY C",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007336810",
            "telephone_number": "787-844-2080",
            "fax_number": "787-842-8111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LABOY",
        "first_name": "OSVALDO",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-14",
        "last_updated": "2008-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PR",
            "license": "10200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

Verify at the official NPI Registry.