Joancy Marie Archeval Lao
General Practice in Dorado, PR. Individual provider (NPI-1).
NPI number1093666877
StatusActive
Last updated in NPPESFeb 6, 2026
Details
- NPI
- 1093666877
- Entity type
- Individual (NPI-1)
- Name
- Joancy Marie Archeval Lao
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 6, 2026
- Certification date
- Feb 5, 2026
- Last updated
- Feb 6, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208D00000X | General Practice | 17378-I | PR | Yes |
Practice location
900 Pr-696Dorado, PR 00646
Phone 713-471-0793
Mailing address
3614 Calle Santa JuanitaPonce, PR 00730-4626
Phone 713-471-0793
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