Provider Demographics
NPI:1447477369
Name:LAGA CANALES, ALVARO CHRISTIAN (MD,MMSC)
Entity type:Individual
Prefix:
First Name:ALVARO
Middle Name:CHRISTIAN
Last Name:LAGA CANALES
Suffix:
Gender:M
Credentials:MD,MMSC
Other - Prefix:
Other - First Name:ALVARO
Other - Middle Name:C
Other - Last Name:LAGA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:75 FRANCIS ST
Mailing Address - Street 2:DEPARTMENT OF PATHOLOGY, AMORY-3
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02115-6110
Mailing Address - Country:US
Mailing Address - Phone:617-525-7484
Mailing Address - Fax:
Practice Address - Street 1:75 FRANCIS ST
Practice Address - Street 2:DEPARTMENT OF PATHOLOGY, AMORY-3
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02115-6110
Practice Address - Country:US
Practice Address - Phone:617-525-7484
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-20
Last Update Date:2014-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA234606207ZD0900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZD0900XAllopathic & Osteopathic PhysiciansPathologyDermatopathology