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Individual

DR. TERESITA DE LEON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
AVE PONCE DE LEON, #1507 SUITE IC, SAN JUAN, PR 00915-3959
(787) 721-3722
(787) 723-6866
Mailing address
AVE PONCE DE LEON, #1507 SUITE IC, SAN JUAN, PR 00915-3959
(787) 721-3722
(787) 723-6866

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
13221
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
20352
TRIPLE S
PR
Enumeration date
08/27/2010
Last updated
08/27/2010
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