Ivette Resto Leon, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

15306 Issued in PR

Practice address

550 Sergio Cuevas Bustamante
San Juan, PR 00918

Phone

(787) 547-4790

Fax

(787) 759-0101

NPI assigned

Mar 3, 2007

Last updated

Oct 7, 2014By 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

Enrolled in PR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Grupo Anestesiologos de Ojos

  • Anesthesiology Physician
  • San Juan, PR
  • NPI 1386672798
  Medicare reassignment NPD

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

{
    "created_epoch": "1172880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412640000000",
    "number": "1316076789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PMB 854",
            "address_2": "138 AVE WINSTON CHURCHILL URB CROWN HILLS",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009260613",
            "telephone_number": "787-547-4790",
            "fax_number": "787-759-0101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 SERGIO CUEVAS BUSTAMANTE",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00918",
            "telephone_number": "787-547-4790",
            "fax_number": "787-759-0101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RESTO LEON",
        "first_name": "IVETTE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-03",
        "last_updated": "2014-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "PR",
            "license": "15306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Resilience Neuro Rehab & Wellness LLC
• Respiratory Care Specialists LLP (Centro Neumologico de Puerto Rico)
• Respiro LLC
• Restaura Therapy Services
• Juan Manuel Resto de Leon, MSW
• Gloria Resto-Torres, R.PH.
• Angelica Maria Resto, M.D.
• Maria Carmen Resto, PSY.D.
• Restora Wellness & Aesthetic Medicine
• Restorative Health and Wellness Institute, LLC

• Anesthesiology Physician in San Juan, PR
• Providers in San Juan, PR by specialty
• Anesthesiology Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2014; 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.

Verify at the official NPI Registry.