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NPI 1053573543ActiveOrganization· Physician Assistant· Santa Isabel, PR
Physician Assistant in Santa Isabel, Puerto Rico, registered in NPPES in June 2008. The authorized official on file is Carlos Luis Leon, President.
Overview
| NPI | 1053573543 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 26, 2008 |
| Last updated in NPPES | Jun 26, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | — | PR |
| Physician Assistant, Medical | 363AM0700X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Physician Assistant providers in Santa Isabel
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