Healthcare Provider Details

I. General information

NPI: 1104469717
Provider Name (Legal Business Name): DAISY R PEREZ LABOY PHARM.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/26/2019
Last Update Date: 10/26/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 CARR 1 URB ALTOS DE LA FUENTE
CAGUAS PR
00727
US

IV. Provider business mailing address

PO BOX 334522
PONCE PR
00733-4522
US

V. Phone/Fax

Practice location:
  • Phone: 787-286-8242
  • Fax: 787-286-8249
Mailing address:
  • Phone: 787-974-5183
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number006709
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: