Individual
JUAN R RODRIGUEZ DE LEON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
EDIF MEDICO HERMANAS DAVILA, SUITE 202 VILLA RICA, BAYAMON, PR 00959-5041
(787) 786-1200
(787) 269-0077
Mailing address
PO BOX 8459, BAYAMON, PR 00960-8459
(787) 786-1200
(787) 269-0077
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
4298
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0404
INTERNATIONAL MEDICAL CAR
PR
01
—
06-3595
CRUZ AZUL
PR
01
—
207071
PREFERRED HEALTH
PR
01
—
340056-5
ACAA
PR
01
—
600451
MEDICARE Y MUCHO MAS
PR
01
—
6200051
HUMANA INSURANCE
PR
01
—
9-5585RO
TRIPLE-S INC.
PR
01
—
PE-0712
PAN AMERICAN LIFE
PR
Enumeration date
12/27/2006
Last updated
08/12/2019
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