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Individual

DR. CARLOS ALBERTO LEYVA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
369 CALLE DE DIEGO, SUITE 209, SAN JUAN, PR 00923-3003
(787) 767-2929
(787) 765-4374
Mailing address
369 CALLE DE DIEGO, SUITE 209, SAN JUAN, PR 00923-3003
(787) 767-2929
(787) 765-4374

Taxonomy

Speciality
Code
Description
License number
State
2080P0205X
Pediatric Endocrinology Physician
Primary
18183
PR
2080P0205X
Pediatric Endocrinology Physician
ME104962
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
18183
STATE LICENSE
PR
Enumeration date
06/13/2007
Last updated
10/12/2012
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