# CONDADO OTOLARYNGOLOGY PSC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Jose R. De Leon Jimenez
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629031331
- **Authorized official:** JOSE R DE LEON SR. MD (PRESIDENTE)
- **Authorized official phone:** (787) 776-1511

## Contact information

- **Practice address:** PLAZA LAS AMERICAS, TORRE DE PLAZA SUITE 907, SAN JUAN, PR 00918
- **Practice address phone:** (787) 281-1200
- **Practice address fax:** (787) 776-1531
- **Mailing address:** 1357 AVENIDA ASHFORD, PBM 428, SAN JUAN, PR 00907
- **Mailing address phone:** (787) 785-8981
- **Mailing address fax:** (787) 780-4866

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Y00000X | Otolaryngology Physician | 12876 | PR | — |
| 207YX0007X | Plastic Surgery within the Head & Neck (Otolaryngology) Physician | 12876 | PR | Yes |

## Other

- **Enumeration date:** 04/11/2006
- **Last updated:** 08/30/2022