Active NPI
Maria Del R. De Leon, M.D
- Specialist
- Humacao, PR
National Provider Identifier
1720127178
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 11350
- Practice address
- Calle Luz Dufresne #59W
Humacao, PR 00791-3609 - Phone
- (787) 266-2701
- Fax
- (787) 285-4060
- NPI assigned
- Feb 5, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Specialist | 174400000X | 11350 | PR | Primary |
Addresses
Primary practice location
Calle Luz Dufresne #59W
Humacao, PR 00791-3609
Mailing address
PO Box 9092
Humacao, PR 00792-9092
Phone (787) 266-2701
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1200929 | Other | PR | PROVIDER |
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11350 | PR | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eastern Advanced Health Care | Past | Accepting new patients | |
| Valley Pediatrics | Past | Accepting new patients | |
| Facilidades Medicas Asociadas Corp. | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Medical Specialty Clinic/Center
- Yabucoa, PR
- NPI 1639211709
-
- Legal Medicine
- Humacao, PR
- NPI 1457548703
-
- Preferred Provider Organization
- Humacao, PR
- NPI 1700024403
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1720127178",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9092",
"city": "HUMACAO",
"state": "PR",
"postal_code": "007929092",
"telephone_number": "787-266-2701",
"fax_number": "787-285-4060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CALLE LUZ DUFRESNE #59W",
"city": "HUMACAO",
"state": "PR",
"postal_code": "007913609",
"telephone_number": "787-266-2701",
"fax_number": "787-285-4060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DE LEON",
"first_name": "MARIA",
"middle_name": "DEL R.",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "PR",
"license": "11350",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROVIDER",
"identifier": "1200929",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Humacao, PR
- Luis Ernesto De Jesus Burgos, DOCTOR
- Javier Miguel De Jesus-Orpi, DPM
- Julio Angel De la Cruz - Rosado, MD
- Jose Manuel De la Rosa, MD
- Denisse De Leon, MPSY
- Jailene De Los Santos Ramos, SLP
- De Soto Internal Medicine Services, PSC
- Maria M Deiter, RPH
- Annette Del Toro, MD
- Javier Delgado-Candelario, M.D.
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.