Andrea Michelle De Leon Tejeda

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

Carr 176 KM 11.1 Camino Los Guaybaos #21
San Juan, PR 00926-9557

Phone

(787) 244-4732

NPI assigned

Apr 13, 2020

Last updated

Jun 12, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1586736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591920000000",
    "number": "1215556949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RR 36 BOX 8675",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009269557",
            "telephone_number": "787-244-4732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 176 KM 11.1 CAMINO LOS GUAYBAOS #21",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009269557",
            "telephone_number": "787-244-4732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LEON TEJEDA",
        "first_name": "ANDREA",
        "middle_name": "MICHELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-13",
        "last_updated": "2020-06-12",
        "certification_date": "2020-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carmen Julia De Leon de Leon, M.D
• Raelys Lyvet De Leon Fernandez
• Caroline De Leon Frias, PSY
• Rafael Leonardo De Leon Reyes
• Alexandra De Leon Segarra, PHYSICIAN ASSISTANT
• Nicolle Franchesca De Leon Tellado, M.D.
• Ramon Antonio De Leon-Berras, M.D.
• Tatiana M De Leon-Rodriguez, PHD
• Norma Iris De Leon-Tellado, D.M.D.
• Gladys Yamira De Leon, PH.D

• Student in an Organized Health Care Education/Training Program in San Juan, PR
• Providers in San Juan, PR by specialty
• Student in an Organized Health Care Education/Training Program in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.