| Doctor Name: | LEONARDO RAMOS RIVERA |
| NPI Number: | 1841567492 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 264995 |
| Business Practice Address: | 18730 Hillside Ave Jamaica, NY - 114323216 |
| Business Phone Number: | 7182641111 |
| Business Fax Number: | 7182642195 |
| Mailing Address: | 183 109th Ave, ELMONT |
| State: | NY |
| Postal Code: | 110032017 |
| Phone Number: | 5165870850 |
| Fax Number: | |
| NPI Enumeration Date: | 11/28/2011 |
| NPI Last Update Date: | 03/16/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 264995 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |