Provider Demographics
NPI:1598702300
Name:DE LEON, ERLINDA F (MD)
Entity Type:Individual
Prefix:DR
First Name:ERLINDA
Middle Name:F
Last Name:DE LEON
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 1:10532 CEROTTO LN
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89135-2551
Mailing Address - Country:US
Mailing Address - Phone:702-255-3202
Mailing Address - Fax:702-255-3202
Practice Address - Street 1:6767 OLD MADISON PIKE
Practice Address - Street 2:SUITE 690
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35806-2172
Practice Address - Country:US
Practice Address - Phone:800-955-1919
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-01
Last Update Date:2012-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ25757174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist