Healthcare Provider Details

I. General information

NPI: 1992988950
Provider Name (Legal Business Name): RAMON ANTONIO DE LEON-BERRAS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/13/2007
Last Update Date: 12/13/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

382 AVE. SAN CLAUDIO PMB 73
SAN JUAN PR
00926-9910
US

IV. Provider business mailing address

382 AVE. SAN CLAUDIO PMB 73
SAN JUAN PR
00926-9910
US

V. Phone/Fax

Practice location:
  • Phone: 787-777-3535
  • Fax: 787-777-3850
Mailing address:
  • Phone: 787-777-3535
  • Fax: 787-777-3850

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License Number94-E
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: