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NPI Code Detail

MEDICARE: LEANDRA MEDICAL SERVICES LLC

MEDICARE: LEANDRA MEDICAL SERVICES LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QH0100XHealth Service Clinic/Center

General Provider Information

NPI Number : 1205388550
Entity Type Code : Organization
Provider Name (Legal Business Name) : LEANDRA MEDICAL SERVICES LLC
Provider Business Mailing Address
First Line : PO BOX 1674
Second Line :
City : CANOVANAS
State : PR
Zip : 00729-1674
Country : US
Telephone Number : 787-256-2015
Fax Number : 787-256-5043
Provider Business Practice Location Address
First Line : 58 CALLE CORCHADO
Second Line :
City : CANOVANAS
State : PR
Zip : 00729-3102
Country : US
Telephone Number : 787-256-2015
Fax Number : 787-256-5043
Authorized Official
Title or Position : PRESIDENTE
Name : DR. OSCAR GARCIA ROMAN
Credential : MD
Telephone Number : 787-256-2015
Provider Enumeration Date : 11/02/2016
Last Update Date : 11/02/2016

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Directions to “LEANDRA MEDICAL SERVICES LLC ” Practice Location

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