Provider Demographics
NPI:1215008503
Name:MEJIA-LEON, ROSANA (MD)
Entity Type:Individual
Prefix:DR
First Name:ROSANA
Middle Name:
Last Name:MEJIA-LEON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:ROSANA
Other - Middle Name:
Other - Last Name:MEJIA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:RO11 CALLE CORRIENTES
Mailing Address - Street 2:URB. RIACHUELO
Mailing Address - City:TRUJILLO ALTO
Mailing Address - State:PR
Mailing Address - Zip Code:00976-6140
Mailing Address - Country:US
Mailing Address - Phone:787-475-2598
Mailing Address - Fax:
Practice Address - Street 1:RO11 CALLE CORRIENTES
Practice Address - Street 2:URB. RIACHUELO
Practice Address - City:TRUJILLO ALTO
Practice Address - State:PR
Practice Address - Zip Code:00976-6140
Practice Address - Country:US
Practice Address - Phone:787-475-2598
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-10
Last Update Date:2024-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR15316208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics