Provider Demographics
NPI:1104613686
Name:TOSADO DE LEON, KRIZIA M (MD)
Entity type:Individual
Prefix:
First Name:KRIZIA
Middle Name:M
Last Name:TOSADO DE LEON
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13 WASHINGTONIAN DR
Mailing Address - Street 2:
Mailing Address - City:DORADO
Mailing Address - State:PR
Mailing Address - Zip Code:00646-4729
Mailing Address - Country:US
Mailing Address - Phone:787-310-5158
Mailing Address - Fax:787-310-5158
Practice Address - Street 1:AUXILIO MUTUO HOSPITAL
Practice Address - Street 2:715 AVE PONCE DE LEON
Practice Address - City:HATO REY
Practice Address - State:PR
Practice Address - Zip Code:00919
Practice Address - Country:US
Practice Address - Phone:787-758-2000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-21
Last Update Date:2025-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR17323-I390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program