Individual
LEONARDO FABIO BASTARDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
715 AVE PONCE DE LEON, HATO REY, PR 00917-5032
(787) 758-2000
Mailing address
948 CALLE 29 SE, SAN JUAN, PR 00921-2705
(939) 599-2960
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
024942
PR
390200000X
Student in an Organized Health Care Education/Training Program
—
PR
Other
Enumeration date
05/20/2021
Last updated
06/03/2026
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