Individual ProviderLourdes Perezroman-LeonFamily MedicineAllopathic & Osteopathic PhysiciansPractice Address527 N Leona St, San Antonio, TX 78207-3110(210) 358-3401PECOS EnrollmentBased on the most recent information from CMS, provider Lourdes Perezroman-Leon is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1295794451Provider TypeIndividualFull NamePerezroman-Leon, LourdesTitleDr.CredentialM.D.GenderFemaleSole ProprietorNoEnumeration Date3/17/2006Last Updated7/8/2007Contact InformationPractice LocationPractice Address527 N Leona St, San Antonio, TX 78207-3110Phone(210) 358-3401Fax(210) 358-3664Mailing LocationMailing Address527 N Leona St, San Antonio, TX 78207-3110Phone(210) 358-3401Fax(210) 358-3664Provider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicenseJ9535TexasProvider IdentifiersIDDescriptionIssuerID045496901DescriptionMedicaidIssuerUnlistedTexas