| Victor Amaury De Leon-hernandez, MD | |
| Comnavsurfpac 2841 Rendova Rd, San Diego, CA 92155-5490 | |
| (787) 308-9559 | |
| Not Available | 
| Full Name | Victor Amaury De Leon-hernandez | 
|---|---|
| Gender | Male | 
| Speciality | Internal Medicine | 
| Location | Comnavsurfpac 2841 Rendova Rd, San Diego, California | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1306327473 | NPI | - | NPPES | 
| 550658202 | Other | PR | PASSPORT | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207R00000X | Internal Medicine | 24065 (Puerto Rico) | Primary | 
| 390200000X | Student In An Organized Health Care Education/training Program | 35207 (Puerto Rico) | Secondary | 
| Entity Name | Costa Salud Community Health Centers Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1912997768 PECOS PAC ID: 1951370022 Enrollment ID: O20040927000712 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Victor Amaury De Leon-hernandez, MD 2647 Everly Dr, San Diego, CA 92108-2663 Ph: (787) 308-9559 | Victor Amaury De Leon-hernandez, MD Comnavsurfpac 2841 Rendova Rd, San Diego, CA 92155-5490 Ph: (787) 308-9559 | 
| Dr. Ramin Motarjemi, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 W Arbor Dr, San Diego, CA 92103 Phone: 858-249-2500 Fax: 858-657-8069 | |
| Dr. Shweta Warner, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4647 Zion Ave, San Diego, CA 92120 Phone: 619-221-6258 Fax: 619-221-6012 | |
| Dr. Matthew James Roosevelt, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4647 Zion Ave, Department Of Hospital Medicine, San Diego, CA 92120 Phone: 619-952-5091 | |
| Marin Nishimura-kaminski,  Internal Medicine Medicare: May Accept Medicare Assignments Practice Location: 200 W Arbor Dr, San Diego, CA 92103 Phone: 800-926-8273 Fax: 888-539-8781 | |
| Belicia Kuang-chieh Ding, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 200 W Arbor Dr, San Diego, CA 92103 Phone: 800-926-8273 Fax: 888-539-8781 | |
| Jedidiah Daniel Bell,  Internal Medicine Medicare: Medicare Enrolled Practice Location: 200 W Arbor Dr, San Diego, CA 92103 Phone: 619-471-0434 | |
| Dr. Umber Dube, MD PHD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 200 W Arbor Dr, San Diego, CA 92103 Phone: 800-926-8273 Fax: 888-539-8781 |