Nanette Michelle De Leon, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

17637 Issued in PR

Practice address

San Juan Health Center Suite 701
150 Ave de Diego
San Juan, PR 00907

Phone

(939) 545-8402

Fax

(939) 545-8439

NPI assigned

Jul 22, 2008

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

Specialty

Ophthalmology

Education

University of Puerto Rico School of Medicine, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Advanced Glaucoma and Ophthalmology Services

  • Ophthalmology Physician
  • San Juan, PR
  • NPI 1629465604
  NPD (past) Authorized official

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

{
    "created_epoch": "1216684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666051200000",
    "number": "1487819256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1803 CALLE DIAMELA",
            "address_2": "URB. SANTA MARIA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009276342",
            "telephone_number": "787-764-4060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SAN JUAN HEALTH CENTER SUITE 701",
            "address_2": "150 AVE DE DIEGO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00907",
            "telephone_number": "939-545-8402",
            "fax_number": "939-545-8439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LEON",
        "first_name": "NANETTE",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-22",
        "last_updated": "2022-10-18",
        "certification_date": "2022-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PR",
            "license": "17637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 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
• Maridolores De Leon, M.D.
• Sylvette De Leon, M.D.
• Teresita De Leon, M.D.
• Josue De Los Santos Martir, M.D.
• Noemi Caridad De Los Santos Santana
• Louis A. De Mier-Gonzalez, PSY.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.