Individual
DR. LEIDY LAURA FELIZ CARRASCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
715 AVE PONCE DE LEON, SAN JUAN, PR 00917-5032
(787) 758-2000
Mailing address
375 CALLE ALFREDO CARBONELL, SAN JUAN, PR 00918-2316
(787) 329-2765
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
000032
PR
390200000X
Student in an Organized Health Care Education/Training Program
Primary
17313-I
PR
Other
Enumeration date
03/14/2022
Last updated
05/07/2025
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