Provider Demographics
NPI:1497853543
Name:RODRIGUEZ DE LEON, DAVID RUBEN (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:RUBEN
Last Name:RODRIGUEZ DE LEON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:AVE. BETANCES HNAS DAVILA
Mailing Address - Street 2:D15
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00961
Mailing Address - Country:US
Mailing Address - Phone:787-780-0620
Mailing Address - Fax:787-780-0637
Practice Address - Street 1:AVE. BETANCES HERMANAS DAVILA
Practice Address - Street 2:D15
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00961
Practice Address - Country:US
Practice Address - Phone:787-780-0620
Practice Address - Fax:787-780-0637
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-20
Last Update Date:2013-03-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR6981207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine