Healthcare Provider Details

I. General information

NPI: 1922625367
Provider Name (Legal Business Name): LAURA COROMINAS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/01/2020
Last Update Date: 09/24/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

AVENIDA EL JIBARO 172 KILOMETER 13,5 BO BAYAMON
CIDRA PR
00739-1330
US

IV. Provider business mailing address

29 BASILIO CATALA PRADOS DEL MONTE APT 502
GUAYNABO PR
00971
US

V. Phone/Fax

Practice location:
  • Phone: 787-739-8182
  • Fax:
Mailing address:
  • Phone: 939-239-0319
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number23972
License Number StatePR
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: