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

Leonardo Fabio Bastardo, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1033783345

Leonardo Fabio Bastardo, MD is a Student in an Organized Health Care Education/Training Program in Hato Rey, Puerto Rico. Practices as a sole proprietor. Licensed in Puerto Rico.

Licensed in
PR
In the registry since
2021
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address may be wrong

The ZIP code does not match the city and state on this record. Call before visiting.

715 Ave Ponce De Leon
Hato Rey, PR 00917-5032
Phone: (787) 758-2000

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence 024942 (PR)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (PR)

Record details

NPI number1033783345
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 20, 2021
Last updated in NPPESJune 3, 2026
Certification dateJune 3, 2026

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