Individual provider Active NPI

Yolanda Mas de Leon, M.D.

  • Internal Medicine Physician
  • Fajardo, PR
National Provider Identifier
1952372880
Registry record updated Nov 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
6491 Issued in PR
Practice address
10 Calle Union
Fajardo Medical Plaza Suite 103
Fajardo, PR 00738-4935
Phone
(787) 863-4886
Fax
(787) 860-5144
NPI assigned
Jan 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 6491 PR Primary

Addresses

Primary practice location

10 Calle Union
Fajardo Medical Plaza Suite 103
Fajardo, PR 00738-4935

Mailing address

PO Box 228
Puerto Real, PR 00740-0228
Phone (787) 863-4886

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20120228000622 PR Practitioner - Internal Medicine 4981862539 Practice locations: Fajardo, PR

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10 Calle Un E
Suite 103
Fajardo, PR 00738-4823
Phone (787) 863-4886

10 Calle Union
103 Fajardo Medical Plaza
Fajardo, PR 00738-4823

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
6491PRMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668038400000",
    "number": "1952372880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 228",
            "city": "PUERTO REAL",
            "state": "PR",
            "postal_code": "007400228",
            "telephone_number": "787-863-4886",
            "fax_number": "787-860-5144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 CALLE UNION",
            "address_2": "FAJARDO MEDICAL PLAZA SUITE 103",
            "city": "FAJARDO",
            "state": "PR",
            "postal_code": "007384935",
            "telephone_number": "787-863-4886",
            "fax_number": "787-860-5144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAS DE LEON",
        "first_name": "YOLANDA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-30",
        "last_updated": "2022-11-10",
        "certification_date": "2022-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "6491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fajardo, PR

Sources for this page

Verify at the official NPI Registry.