Active NPI
Alberto Leon, MD
- General Practice Physician
- Bayamon, PR
National Provider Identifier
1205155835
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 17337
- Practice address
- Calle Rossy Esquina Isabel II
Edificio Montesino Oficina 101
Bayamon, PR 00961 - Phone
- (786) 216-5302
- NPI assigned
- May 21, 2010
- Last updated
- Dec 9, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 17337 | PR | Primary |
Addresses
Primary practice location
Calle Rossy Esquina Isabel II
Edificio Montesino Oficina 101
Bayamon, PR 00961
Mailing address
Calle Rossy Esquina Isabel II
Edificio Montesino Oficina 101
Bayamon, PR 00961
Phone (786) 216-5302
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20141017001669 | PR | Practitioner - General Practice | 1557509882 | Practice locations: Bayamon, PR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17337 | PR | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vida Wellness LLC | General Practice | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1274400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607472000000",
"number": "1205155835",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "CALLE ROSSY ESQUINA ISABEL II",
"address_2": "EDIFICIO MONTESINO OFICINA 101",
"city": "BAYAMON",
"state": "PR",
"postal_code": "00961",
"telephone_number": "786-216-5302"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CALLE ROSSY ESQUINA ISABEL II",
"address_2": "EDIFICIO MONTESINO OFICINA 101",
"city": "BAYAMON",
"state": "PR",
"postal_code": "00961",
"telephone_number": "786-216-5302"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEON",
"first_name": "ALBERTO",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-05-21",
"last_updated": "2020-12-09",
"certification_date": "2020-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "17337",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bayamon, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.