Provider Demographics
NPI:1366728644
Name:LEON, ANA MARIA (RPH)
Entity type:Individual
Prefix:PROF
First Name:ANA
Middle Name:MARIA
Last Name:LEON
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 AVE LA SIERRA
Mailing Address - Street 2:#77
Mailing Address - City:CUPEY
Mailing Address - State:PR
Mailing Address - Zip Code:00926-4351
Mailing Address - Country:US
Mailing Address - Phone:787-308-8706
Mailing Address - Fax:
Practice Address - Street 1:400 AVE LA SIERRA
Practice Address - Street 2:#77
Practice Address - City:CUPEY
Practice Address - State:PR
Practice Address - Zip Code:00926-4351
Practice Address - Country:US
Practice Address - Phone:787-308-8706
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-31
Last Update Date:2011-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR2505183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist