Individual provider · Type 1 NPI

Mateo Alberto Leal Rodriguez, MD

Student in an Organized Health Care Education/Training Program · Beavercreek, OH

NPI number 1003618547 Active

Practice location

2145 N Fairfield Rd Ste 100
Beavercreek, OH 45431-2783

Fax (937) 558-3999

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1003618547

Mateo Alberto Leal Rodriguez, MD's National Provider Identifier is 1003618547, issued on Mar 25, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Beavercreek, OH. The record was last updated on Mar 25, 2025.