Healthcare Provider Details

I. General information

NPI: 1891622643
Provider Name (Legal Business Name): MARIBEL DE LEON DE JESUS BSN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/06/2026
Last Update Date: 05/06/2026
Certification Date: 05/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CENTRO DE RECUPERACION A LA VIDARR-9 BOX 887 SAN JUAN
SAN JUAN PR
00926
US

IV. Provider business mailing address

URB JARDINES DE YABUCOA 1032 CALLE ITALIA CASA J 32
YABUCOA PR
00767
US

V. Phone/Fax

Practice location:
  • Phone: 787-763-7575
  • Fax:
Mailing address:
  • Phone: 939-255-5636
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number36091
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: