Provider Demographics
NPI:1235348103
Name:LAUREANO-GARCIA, NOEMI (MD)
Entity type:Individual
Prefix:DR
First Name:NOEMI
Middle Name:
Last Name:LAUREANO-GARCIA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:270 AVE SAN IGNACIO APT 12509
Mailing Address - Street 2:
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00969-8037
Mailing Address - Country:US
Mailing Address - Phone:939-285-9727
Mailing Address - Fax:
Practice Address - Street 1:1714 CALLE PARANA
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00926-3148
Practice Address - Country:US
Practice Address - Phone:787-371-6413
Practice Address - Fax:939-633-6653
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-21
Last Update Date:2025-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR11284208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR11284OtherSTATE LICENSE