Individual provider Active NPI

Lilibeth Gonzalez Lebron

  • Clinical Social Worker
  • San Juan, PR
National Provider Identifier
1154645455
Registry record updated Mar 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
9789 Issued in PR
Practice address
Cond Caribe
Calle Alda 1549
San Juan, PR 00901-2400
Phone
(787) 686-0170
Fax
(787) 686-0173
NPI assigned
Mar 16, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 9789 PR Primary

Addresses

Primary practice location

Cond Caribe
Calle Alda 1549
San Juan, PR 00901-2400

Mailing address

HC 63 Box 3331
Sector Conejo Blanco
Patillas, PR 00723-9608
Phone (787) 686-0170

Other names 1

  • Miss Gonzalez Lebron Lilibeth Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
9789PRMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Community Cornerstones Inc Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1268697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268697600000",
    "number": "1154645455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 63 BOX 3331",
            "address_2": "SECTOR CONEJO BLANCO",
            "city": "PATILLAS",
            "state": "PR",
            "postal_code": "007239608",
            "telephone_number": "787-686-0170",
            "fax_number": "787-686-0173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "COND CARIBE",
            "address_2": "CALLE ALDA 1549",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009012400",
            "telephone_number": "787-686-0170",
            "fax_number": "787-686-0173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ LEBRON",
        "first_name": "LILIBETH",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-16",
        "last_updated": "2010-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PR",
            "license": "9789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GONZALEZ",
            "last_name": "LILIBETH",
            "middle_name": "LEBRON",
            "prefix": "MISS",
            "credential": "MSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.