| Doctor Name: | MR. EDUARDO DE LEON |
| NPI Number: | 1689853426 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 2177 |
| Business Practice Address: | Flamboyan 115 Hacienda Mi Queriso Viejo Dorado, PR - 00646 |
| Business Phone Number: | 7872781308 |
| Business Fax Number: | |
| Mailing Address: | Po Box 305, BAYAMON |
| State: | PR |
| Postal Code: | 009600305 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 10/29/2007 |
| NPI Last Update Date: | 10/29/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 2177 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |