Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Leandra Nathalie Suero Diaz, PA

Individual provider Medical Physician Assistant · NPI 1891649182

Leandra Nathalie Suero Diaz, PA is a Medical Physician Assistant in New York, New York. Practices as a sole proprietor. Licensed in Puerto Rico.

Licensed in
PR
In the registry since
2026
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

566 W 207th St
New York, NY 10034-2611
Phone: (929) 407-8133
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2819 (PR)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 2819 (PR)

Record details

NPI number1891649182
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorYes
NPI enumeratedFebruary 24, 2026
Last updated in NPPESFebruary 24, 2026
Certification dateFebruary 24, 2026

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