Organization
LAABES MEDICAL PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GUSTAVO A LAABES M.D. (PRESIDENT)
(787) 585-7580
Entity
Organization
Contact information
Practice address
CARR 417 KM 2.7, BO MALPASO, AGUADA, PR 00602-9857
(787) 868-8811
Mailing address
510 CALLE FRANCISCO CAMACHO APT 1104, ISABELA, PR 00662-2442
(787) 585-7580
(787) 868-8811
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
—
—
261Q00000X
Clinic/Center
17717
PR
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17717
PUERTO RICO BOARD OF LICENSING AND MEDICAL DISCIPLINES
PR
Enumeration date
02/07/2011
Last updated
06/18/2020
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