Individual
DR. JORGE LUIS LEAVITT- CARABALLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
AVENIDA AMERICO MIRANDE ENTRADA PRINCIPAL CENTRO MEDICO, STE 15, SAN JUAN, PR 00935-0001
(787) 758-3503
(787) 705-7328
Mailing address
URB SENDEROS DE MONTEHIEDRA, 74 CALLE AGUAMARINA, SAN JUAN, PR 00926
(787) 505-3750
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
17682
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
037844900
—
PR
05
—
037844901
—
PR
Enumeration date
06/05/2007
Last updated
10/04/2025
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