Provider Demographics
NPI:1205388550
Name:LEANDRA MEDICAL SERVICES LLC
Entity Type:Organization
Organization Name:LEANDRA MEDICAL SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENTE
Authorized Official - Prefix:DR
Authorized Official - First Name:OSCAR
Authorized Official - Middle Name:
Authorized Official - Last Name:GARCIA ROMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-256-2015
Mailing Address - Street 1:PO BOX 1674
Mailing Address - Street 2:
Mailing Address - City:CANOVANAS
Mailing Address - State:PR
Mailing Address - Zip Code:00729-1674
Mailing Address - Country:US
Mailing Address - Phone:787-256-2015
Mailing Address - Fax:787-256-5043
Practice Address - Street 1:58 CALLE CORCHADO
Practice Address - Street 2:
Practice Address - City:CANOVANAS
Practice Address - State:PR
Practice Address - Zip Code:00729-3102
Practice Address - Country:US
Practice Address - Phone:787-256-2015
Practice Address - Fax:787-256-5043
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-02
Last Update Date:2016-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service