Physician Compare National (NPI:1861557134)

HEALTHCARE PROVIDER: JUAN R RODRIGUEZ DE LEON M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1861557134
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	6305081589
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20130315000321
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	RODRIGUEZ DE LEON
	Individual professional last name
Provider First Name	JUAN
	Individual professional first name
Provider Middle Name	R
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF PUERTO RICO SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1970
	Individual professional's medical school graduation year
Primary Specialty	UROLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	EDIFICIO MEDICO HERMANAS DAVILA
	Group Practice or individual's line 1 address
Line 2 Street Address	STREET J CORNER B SUITE 202 VILLA RICA
	Group Practice or individual's line 2 address
City	BAYAMON
	Group Practice or individual's city
State	PR
	Group Practice or individual's state
Zip Code	00959
	Group Practice or individual's zip code (9 digits when available)
Phone Number	7877861200
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y