Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0402X | Child Neurologist | 3977 | PR |
NPI | 1144283904 |
---|---|
Provider Name | Dr. Carlos R. Lao Velez |
First Address | Bayamon, PR 00960-8390 |
Second Address | Bayamon, PR 00959 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/04/2006 |
Last Update Date | 28/05/2009 |