Provider Demographics
NPI:1730618786
Name:LEON-YORDAN, MARIA AMALIA (PHARMD)
Entity type:Individual
Prefix:MRS
First Name:MARIA
Middle Name:AMALIA
Last Name:LEON-YORDAN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:709 CALLE HIGUERA
Mailing Address - Street 2:URB SOMBRAS DEL REAL
Mailing Address - City:COTO LAUREL
Mailing Address - State:PR
Mailing Address - Zip Code:00780-2911
Mailing Address - Country:US
Mailing Address - Phone:787-237-6970
Mailing Address - Fax:
Practice Address - Street 1:399 CALLE VILLA
Practice Address - Street 2:
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00728-4521
Practice Address - Country:US
Practice Address - Phone:787-843-8431
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-05
Last Update Date:2017-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR6347183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist