Doctor Name: | DR. ALBERTO LEON |
NPI Number: | 1205155835 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 17337 |
Business Practice Address: | Calle Rossy Esquina Isabel Ii Edificio Montesino Oficina 101 Bayamon, PR - 00961 |
Business Phone Number: | 7862165302 |
Business Fax Number: | |
Mailing Address: | Calle Rossy Esquina Isabel Ii, Edificio Montesino Oficina 101 BAYAMON |
State: | PR |
Postal Code: | 00961 |
Phone Number: | 7862165302 |
Fax Number: | |
NPI Enumeration Date: | 05/21/2010 |
NPI Last Update Date: | 05/21/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 17337 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |