Healthcare Provider Details

I. General information

NPI: 1689642993
Provider Name (Legal Business Name): RICARDO A. LEANO MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/10/2006
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5610 PGA BLVD STE 210
PALM BEACH GARDENS FL
33418-3838
US

IV. Provider business mailing address

5610 PGA BLVD STE 210
PALM BEACH GARDENS FL
33418-3838
US

V. Phone/Fax

Practice location:
  • Phone: 561-248-1166
  • Fax: 561-781-8020
Mailing address:
  • Phone: 561-248-1166
  • Fax: 561-781-8020

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number227484-1
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License NumberME87536
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number01078103A
License Number StateIN
# 4
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberME87536
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: