Provider Demographics
NPI:1851138929
Name:ALMAGUER PEREZ, LEANDRO ABDUL
Entity type:Individual
Prefix:
First Name:LEANDRO
Middle Name:ABDUL
Last Name:ALMAGUER PEREZ
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9725 CYPRESS SHADOW AVE
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33647-1843
Mailing Address - Country:US
Mailing Address - Phone:832-410-6068
Mailing Address - Fax:
Practice Address - Street 1:9725 CYPRESS SHADOW AVE
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33647-1843
Practice Address - Country:US
Practice Address - Phone:832-410-6068
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-15
Last Update Date:2024-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-24-330371106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician