Active NPI
Luis Alberto Leon Matheu, MD
- Pediatrics Physician
- San Juan, PR
National Provider Identifier
1245399708
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 6299
- Practice address
- Calle Garcia Morno Esq Vallejo
Public Health Unit Edificio 1155
San Juan, PR 00928 - Phone
- (787) 763-8902
- NPI assigned
- Dec 8, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 6299 | PR | Primary |
Addresses
Primary practice location
Calle Garcia Morno Esq Vallejo
Public Health Unit Edificio 1155
San Juan, PR 00928
Mailing address
PO Box 194181
Hato Rey Station
San Juan, PR 00919
Phone (787) 763-8902
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6299 | PR | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1245399708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 194181",
"address_2": "HATO REY STATION",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00919",
"telephone_number": "787-763-8902",
"fax_number": "787-765-5105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CALLE GARCIA MORNO ESQ VALLEJO",
"address_2": "PUBLIC HEALTH UNIT EDIFICIO 1155",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00928",
"telephone_number": "787-763-8902"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEON MATHEU",
"first_name": "LUIS",
"middle_name": "ALBERTO",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PR",
"license": "6299",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.