Iliana Nanette De Leon Martinez
Individual provider Active NPI Behavior Technician · Bayamon, PR
NPI 1336026665 · NPPES record last updated Aug 19, 2025
Key facts
- NPI
- 1336026665
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- License
- 25-461133 (PR)
- Practice address
- 300 Ave Laurel # 2a
Bayamon, PR 00956-3273 - Phone
- (787) 400-6000
- NPI assigned
- Aug 19, 2025
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25-461133 | PR | MD | Behavior Technician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | 25-461133 | PR | Yes |
Addresses
Primary practice location
300 Ave Laurel # 2a
Bayamon, PR 00956-3273
Mailing address
Calle H E19
Urb. Alamar
Luquillo, PR 00773
Phone (787) 690-1547
Other providers in Bayamon, PR
- Frances Elimar De la Cruz Torres
- Alba Estela De la Cruz-Robles
- Miguel Dario De la Cruz
- Eneida Maria De la Torre - Lugo
- Irene Margarita De la Torre
- Tatiana M De Leon Mendez
- Carmen Z De Leon
- Maribelinda Belen De Leon
- Jean C De Los Santos Ramos
- De Mujer a Mujer LLC
All providers in Bayamon, PR · Behavior Technician in Puerto Rico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 19, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.