Provider Demographics
NPI:1861121493
Name:LABOY GARCIA, GLADYS MARIA (PHD)
Entity type:Individual
Prefix:DR
First Name:GLADYS
Middle Name:MARIA
Last Name:LABOY GARCIA
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:VILLA BLANCA AVE LUIS MUNOZ MARIN ESQUINA
Mailing Address - Street 2:CALLE 12 NUM J1 BAJOS
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00725
Mailing Address - Country:US
Mailing Address - Phone:787-567-7716
Mailing Address - Fax:
Practice Address - Street 1:CONDOMINIO SKY TOWER 3
Practice Address - Street 2:APT. 1A
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00926
Practice Address - Country:US
Practice Address - Phone:787-567-7716
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-08
Last Update Date:2022-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR5344103TC0700X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical