Provider Demographics
NPI:1376749077
Name:CASTRO-SANTANA, LESLIANE ENID (MD)
Entity Type:Individual
Prefix:DR
First Name:LESLIANE
Middle Name:ENID
Last Name:CASTRO-SANTANA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:48 CALLE REY JUAN CARLOS
Mailing Address - Street 2:CAMPO REAL
Mailing Address - City:LAS PIEDRAS
Mailing Address - State:PR
Mailing Address - Zip Code:00771-3442
Mailing Address - Country:US
Mailing Address - Phone:787-627-9826
Mailing Address - Fax:
Practice Address - Street 1:3 CALLE FONT MARTELO E
Practice Address - Street 2:CLINICA DE ESPECIALIDADES
Practice Address - City:HUMACAO
Practice Address - State:PR
Practice Address - Zip Code:00791-3617
Practice Address - Country:US
Practice Address - Phone:787-656-2424
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-21
Last Update Date:2012-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR17186207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology