Individual
VIDAL ROSARIO LEON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
108 CALLE JOSE C. VAZQUEZ, AIBONITO, PR 00705
(787) 738-8077
(888) 483-2905
Mailing address
PO BOX 372350, CAYEY, PR 00736
(787) 738-8077
(888) 483-2905
Taxonomy
Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
Primary
007815
PR
Other
Enumeration date
10/21/2005
Last updated
04/23/2019
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