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

Mr. Leonid Ronquillo Nemenzo, PA-C

Individual provider Physician Assistant · NPI 1477329100

Mr. Leonid Ronquillo Nemenzo, PA-C is a Physician Assistant in Terre Haute, Indiana. Licensed in Indiana. Registered with an NPI since 2023.

Licensed in
IN
In the registry since
2023
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1725 N 5th St
Terre Haute, IN 47804-4010
Phone: (812) 242-3005
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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 10004116A (IN)

Record details

NPI number1477329100
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 4, 2023
Last updated in NPPESDecember 14, 2023
Certification dateDecember 14, 2023

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