MEDICARE: DR. RICARDO A. LEANO MD

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
1	207L00000X	Anesthesiology Physician	227484-1	NY
2	208VP0014X	Interventional Pain Medicine Physician	ME87536	FL
3	207L00000X	Anesthesiology Physician	01078103A	IN
4	207L00000X	Anesthesiology Physician	ME87536	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1689642993
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RICARDO A. LEANO MD

Provider Business Mailing Address
First Line	:	5610 PGA BLVD STE 210
Second Line	:
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33418-3838
Country	:	US
Telephone Number	:	561-248-1166
Fax Number	:	561-781-8020

Provider Business Practice Location Address
First Line	:	5610 PGA BLVD STE 210
Second Line	:
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33418-3838
Country	:	US
Telephone Number	:	561-248-1166
Fax Number	:	561-781-8020

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/10/2006
Last Update Date	:	06/23/2026

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Directions to “ DR. RICARDO A. LEANO MD” Practice Location

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