Active NPI
Deborah Leon, 4774
- Pharmacotherapy Pharmacist
- Ponce, PR
National Provider Identifier
1356427173
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacotherapy Pharmacist
- License
- 4774
- Practice address
- 334 Calle Juan H Cintron
Extancias El Golf
Ponce, PR 00730-0515 - Phone
- (787) 840-8903
- Fax
- (787) 840-8903
- NPI assigned
- Oct 27, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pharmacotherapy Pharmacist | 1835P1200X | 4774 | PR | Primary |
Addresses
Primary practice location
334 Calle Juan H Cintron
Extancias El Golf
Ponce, PR 00730-0515
Mailing address
334 Juan H Cintron
Extancias El Golf
Ponce, PR 00730
Phone (787) 840-8903
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4774 | PR | MD | Pharmacotherapy Pharmacist |
| 4771 | PR | MD | Pharmacy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1356427173",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "334 JUAN H CINTRON",
"address_2": "EXTANCIAS EL GOLF",
"city": "PONCE",
"state": "PR",
"postal_code": "00730",
"telephone_number": "787-840-8903",
"fax_number": "787-840-8903"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "334 CALLE JUAN H CINTRON",
"address_2": "EXTANCIAS EL GOLF",
"city": "PONCE",
"state": "PR",
"postal_code": "007300515",
"telephone_number": "787-840-8903",
"fax_number": "787-840-8903"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEON",
"first_name": "DEBORAH",
"credential": "4774",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "PR",
"license": "4774",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ponce, 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.