Healthcare Provider Details

I. General information

NPI: 1932786167
Provider Name (Legal Business Name): GABRIELA ALEJANDRA DE LEON ALBORS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/25/2021
Last Update Date: 08/23/2024
Certification Date: 08/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

HOSPITAL PEDIATRICO UNIVERSITARIO BARRIO MONACILLOS
RIO PIEDRAS PR
00921
US

IV. Provider business mailing address

HOSPITAL PEDIATRICO UNIVERSITARIO CENTRO MEDICO, CARRETERA 22, BO MONACILLOS
RIO PIEDRAS PR
00921
US

V. Phone/Fax

Practice location:
  • Phone: 787-474-0333
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number37145
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: