Provider Demographics
NPI:1659481794
Name:LEON, HECTOR RUBEN (MD)
Entity Type:Individual
Prefix:
First Name:HECTOR
Middle Name:RUBEN
Last Name:LEON
Suffix:
Gender:M
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:CALLE FERNANDEZ JUNCOS B-3
Mailing Address - Street 2:URB ROSA MARIA
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00985
Mailing Address - Country:US
Mailing Address - Phone:787-750-4855
Mailing Address - Fax:787-768-9380
Practice Address - Street 1:CALLE FERNANDEZ JUNCOS B-3
Practice Address - Street 2:URB ROSA MARIA
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00985
Practice Address - Country:US
Practice Address - Phone:787-750-4855
Practice Address - Fax:787-768-9380
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-30
Last Update Date:2008-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR4406207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology