Eda Leon

Primary specialty

NutritionistTaxonomy code 133N00000X

License

828 Issued in PR

Practice address

61 Calle Palmer
Canovanas, PR 00729-3116

Phone

(787) 256-7642

Fax

(787) 256-7642

NPI assigned

Aug 26, 2014

Last updated

Aug 26, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Canovanas Medical Group

  • VA Clinic/Center
  • Canovanas, PR
  • NPI 1285855411
  NPD (past)

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

{
    "created_epoch": "1409011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409011200000",
    "number": "1558761759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6017",
            "address_2": "PMB 150",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009846017",
            "telephone_number": "787-237-8944",
            "fax_number": "787-946-4294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 CALLE PALMER",
            "city": "CANOVANAS",
            "state": "PR",
            "postal_code": "007293116",
            "telephone_number": "787-256-7642",
            "fax_number": "787-256-7642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEON",
        "first_name": "EDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-26",
        "last_updated": "2014-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "PR",
            "license": "828",
            "primary": true
        },
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "PR",
            "license": "828",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monica Larrion
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• Zuna M Lebron
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• Franchesca Leen Llanos, MSW
• Loiza Valley Mr & CT Center

• Nutritionist in Canovanas, PR
• Providers in Canovanas, PR by specialty
• Nutritionist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.