Organization
PEDIATRIC NEUROEPI LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEYDA GISSELLE SANCHEZ ORTIZ (MD)
(787) 365-6959
Entity
Organization
Contact information
Practice address
100 CARR 165 STE 308, GUAYNABO, PR 00968-8050
(787) 365-6959
Mailing address
PO BOX 10076, SAN JUAN, PR 00922-0076
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
—
—
Other
Enumeration date
09/18/2019
Last updated
01/27/2023
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