Sheila Marie Sustache de Leon, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

023180 Issued in PR

Practice address

Urb la Pradera 1002 Armadillo Street
Guayama, PR 00784-6453

Phone

(787) 709-1945

NPI assigned

Apr 10, 2023

Sex

Female

Sole proprietor

Yes

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

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

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 and National Provider Directory roles.

• RSMD Medical Services LLC

  • Family Medicine Physician
  • Guayama, PR
  • NPI 1760325898
  NPD Authorized official

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

{
    "created_epoch": "1681084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694995200000",
    "number": "1629763271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB LA PRADERA 1002 ARMADILLO STREET",
            "city": "GUAYAMA",
            "state": "PR",
            "postal_code": "007846453",
            "telephone_number": "787-709-1945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB LA PRADERA 1002 ARMADILLO STREET",
            "city": "GUAYAMA",
            "state": "PR",
            "postal_code": "007846453",
            "telephone_number": "787-709-1945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUSTACHE DE LEON",
        "first_name": "SHEILA",
        "middle_name": "MARIE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-10",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "202C00000X",
            "taxonomy_group": "",
            "desc": "Independent Medical Examiner",
            "state": "PR",
            "license": "023180",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "023180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Enrique Sued
• Jens Suero - Lora, MD
• Super Farmacia Derkes Inc
• Super Farmacia Rina Inc
• Sur Pediatric Emergency Services, PSC
• Taxi Mobility to Appointments
• Tesla Imagenes, CSP
• Toperbee Corporation
• Torres Ambulance
• Zoraida Torres Montes

• All providers in Guayama, PR
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2023; 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.