Provider Demographics
NPI:1184607988
Name:DE LEON, JOSE FRANCISCO (MD)
Entity type:Individual
Prefix:DR
First Name:JOSE
Middle Name:FRANCISCO
Last Name:DE LEON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:214 CALLE GUAJATACA
Mailing Address - Street 2:VILLAS DE LA PLAYA
Mailing Address - City:VEGA BAJA
Mailing Address - State:PR
Mailing Address - Zip Code:00693-6041
Mailing Address - Country:US
Mailing Address - Phone:787-854-4685
Mailing Address - Fax:
Practice Address - Street 1:214 CALLE GUAJATACA
Practice Address - Street 2:VILLAS DE LA PLAYA
Practice Address - City:VEGA BAJA
Practice Address - State:PR
Practice Address - Zip Code:00693-6041
Practice Address - Country:US
Practice Address - Phone:787-854-4685
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-11-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR11889207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRG70209Medicare UPIN