Provider Demographics
NPI:1881181394
Name:LEON PONS, LEDUARD SR (MD)
Entity Type:Individual
Prefix:DR
First Name:LEDUARD
Middle Name:
Last Name:LEON PONS
Suffix:SR
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 1:5555 AVE ISLA VERDE APT 217
Mailing Address - Street 2:
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00979-5638
Mailing Address - Country:US
Mailing Address - Phone:305-904-5231
Mailing Address - Fax:
Practice Address - Street 1:900 CARRETERA 896
Practice Address - Street 2:
Practice Address - City:DORADO
Practice Address - State:PR
Practice Address - Zip Code:00646-0000
Practice Address - Country:US
Practice Address - Phone:787-625-5050
Practice Address - Fax:787-625-1080
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-19
Last Update Date:2023-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR23147208D00000X, 207PE0004X
PR14428I390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207PE0004XAllopathic & Osteopathic PhysiciansEmergency MedicineEmergency Medical Services
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program