Individual
LEONARDO RAFAEL HORMAZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
253 CALLE SAN JORGE, SUIE 2B, SANTURCE, PR 00912-3307
(787) 999-9450
Mailing address
274 DORADO BCH E, DORADO, PR 00646-2213
(787) 727-1000
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
036-115444
IL
2080P0206X
Pediatric Gastroenterology Physician
Primary
15346
PR
2080T0004X
Pediatric Transplant Hepatology Physician
15346
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1055271
—
LA
Enumeration date
08/10/2006
Last updated
01/26/2011
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