Individual
CARMEN JULIA DE LEON DE LEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
369 CALLE DE DIEGO, TORRES SAN FRANCISCO SUITE 405, SAN JUAN, PR 00923-3003
(787) 767-0828
Mailing address
PO BOX 22612, SAN JUAN, PR 00931-2612
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
7600
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0117315
ACCA
PR
01
—
2-9669-DE
SSS
PR
01
—
235004
PREFERRED
—
01
—
58452369
MCS
PR
01
—
M-9607
CRUZ AZUL
PR
Enumeration date
04/19/2007
Last updated
04/08/2008
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