MEDICARE: SOC DRES ATILANO LEON, JOSE A MORALES, EDGAR ECHEVARRIA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223S0112X	Oral and Maxillofacial Surgery (Dentist)		PR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	004-0826CI	OTHER	PR	SSS PROVIDER NOMBER
2	067099	OTHER	PR	LA CRUZ AZUL PROVIDER NOM
3	4390	OTHER	PR	PMC PROVIDER NOMBER

General Provider Information

NPI Number	:	1649485657
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SOC DRES ATILANO LEON, JOSE A MORALES, EDGAR ECHEVARRIA

Provider Business Mailing Address
First Line	:	PO BOX 29736
Second Line	:
City	:	SAN JUAN
State	:	PR
Zip	:	00929-0736
Country	:	US
Telephone Number	:	787-755-4347
Fax Number	:	787-283-7440

Provider Business Practice Location Address
First Line	:	570 CALLE NAPOLES STE 208
Second Line	:	CONCORDIA GARDENS SHOPPING CTR
City	:	RIO PIEDRAS
State	:	PR
Zip	:	00924-4605
Country	:	US
Telephone Number	:	787-755-4347
Fax Number	:	787-283-7440

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MS. EMMA GISELA MONTANEZ
Credential	:
Telephone Number	:	787-374-1181

Provider Enumeration Date	:	05/12/2007
Last Update Date	:	08/22/2020

Similar Medicare Providers

1205806684 — DR. JOSE A. MORALES-MORALES DMD
Practice Location Address:

65 INFANTERIA AVE. CONCORDIA SHOPPING CTR. , 570 CALLE NAPOLES SUITE 208
RIO PIEDRAS, PR
00924-4605

Practice Phone: 787-755-4347
Practice Fax: 787-283-7440

1114923653 — DR. CLARA E DE JESUS DMD
Practice Location Address:

570 CALLE NAPOLES , STE 203
SAN JUAN, PR
00924-4605

Practice Phone: 787-760-3260
Practice Fax: 787-748-5177

1205412525 — ONELIA M ROSA CPL
Practice Location Address:

570 CALLE NAPOLES STE 201
SAN JUAN, PR
00924-4605

Practice Phone: 787-226-4777
Practice Fax:

1912133992 — MS. JESSICA YVETTE FLORES PA
Practice Location Address:

214 CHAPARRAL BLVD
RIO GRANDE CITY, TX
78582-4605

Practice Phone: 956-263-1830
Practice Fax: 956-263-1836

1417285875 — DARIA BABINEAUX MD PA
Practice Location Address:

214 CHAPARRAL BLVD
RIO GRANDE CITY, TX
78582-4605

Practice Phone: 956-263-1830
Practice Fax: 956-263-1830

1437575172 — THE PEDIATRIC CARE CENTER
Practice Location Address:

214 CHAPARRAL BLVD
RIO GRANDE CITY, TX
78582-4605

Practice Phone: 956-263-1830
Practice Fax: 956-263-1836

Directions to “SOC DRES ATILANO LEON, JOSE A MORALES, EDGAR ECHEVARRIA ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.