MEDICARE: DR. IVAN ENRIQUE LABOY-ORTIZ M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RE0101X	Endocrinology, Diabetes & Metabolism Physician	18331	PR

General Provider Information

NPI Number	:	1245565696
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. IVAN ENRIQUE LABOY-ORTIZ M.D.

Provider Business Mailing Address
First Line	:	PO BOX 9341
Second Line	:
City	:	CAGUAS
State	:	PR
Zip	:	00726-9341
Country	:	US
Telephone Number	:	787-510-0398
Fax Number	:	939-337-5287

Provider Business Practice Location Address
First Line	:	AVE LAS AMERICAS BS4 BAIROA
Second Line	:
City	:	CAGUAS
State	:	PR
Zip	:	00725-5819
Country	:	US
Telephone Number	:	787-746-7066
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/02/2009
Last Update Date	:	12/04/2023

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