Individual
JORGE J LEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
ME29037
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05400
BLUE CROSS BLUE SHIELD
FL
01
—
1653673
CIGNA
—
01
—
406142183
RAIL ROAD MEDICARE
—
01
—
4104040
AETNA
—
Enumeration date
02/20/2007
Last updated
07/08/2010
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