Doctor Name: | DR. SAMAGY LAURA TEJADA FLORES |
NPI Number: | 1255664595 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 17724 |
Business Practice Address: | 19 Ave Severiano Cuevas Aguadilla, PR - 006035713 |
Business Phone Number: | 7878917080 |
Business Fax Number: | |
Mailing Address: | 284 Calle G, AGUADILLA |
State: | PR |
Postal Code: | 006035533 |
Phone Number: | 7878917080 |
Fax Number: | |
NPI Enumeration Date: | 09/17/2009 |
NPI Last Update Date: | 02/05/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 17724 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |