Individual
ILIANA NANETTE DE LEON MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
300 AVE LAUREL # 2A, BAYAMON, PR 00956-3273
(787) 400-6000
Mailing address
CALLE H E19, URB. ALAMAR, LUQUILLO, PR 00773
(787) 690-1547
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
25-461133
PR
Other
Enumeration date
08/19/2025
Last updated
08/19/2025
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