Amedee Lefebre- Fernandez, MD
Individual provider Active NPI Internal Medicine Physician · Penuelas, PR
NPI 1013073857 · NPPES record last updated Sep 27, 2016
Key facts
- NPI
- 1013073857
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 11484 (PR)
- Practice address
- 503 Calle Munoz Rivera
Penuelas, PR 00624-1705 - Phone
- (787) 836-8621
- Fax
- (787) 836-8621
- NPI assigned
- Dec 28, 2006
- Sex
- Male
- Sole proprietor
- Yes
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
503 Calle Munoz Rivera
Penuelas, PR 00624-1705
Phone (787) 836-8621
Hospital & facility affiliations
- Hospital Damas Inc
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110419000833 | PR | Practitioner - Internal Medicine | 9638354574 | Practice locations: Penuelas, PR |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11484 | PR | MD | Emergency Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 11484 | PR | Yes |
Addresses
Primary practice location
503 Calle Munoz Rivera
Penuelas, PR 00624-1705
Mailing address
PO Box 908
Penuelas, PR 00624-0908
Phone (787) 836-8621
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11484 | Other | PR | LICENSE PR |
Other providers in Penuelas, PR
- Juan Lopez Velaquez
- Laboratorio Clinico Penuelas
- Laboratorio Clinico Penuelas
- Laboratorio Clinico Sonia Sepulveda
- Laboratorio Clinico Sonia Sepulveda, Inc
- Lyzbette Lopez-Castellar
- Zoriarm Loyola
- Jacqueline Vanessa Lugo Pina
- Luis A Lugo
- M.D. Virgilio Polonio de Luna, C.S.P
All providers in Penuelas, PR · Internal Medicine Physician in Puerto Rico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 27, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.