Familia Cortes-Lebron
Organization Active NPI Community/Retail Pharmacy · Yauco, PR
NPI 1154831469 · NPPES record last updated May 23, 2024
Key facts
- NPI
- 1154831469
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 19F3512 (PR)
- Legal business name
- FAMILIA CORTES-LEBRON
- Practice address
- Carr 121 KM 13.3
Sector Cuatro Calles, Bo. Susua Baja
Yauco, PR 00698 - Phone
- (787) 987-8036
- Fax
- (787) 987-8234
- NPI assigned
- Oct 2, 2017
- Organization subpart
- No
Authorized official
- Name
- Marisol Lebron, PHARMD
- Title
- Vice-President
- Phone
- (787) 923-7178
Other NPIs on the same Medicare enrollment 1
Corporate family (same tax ID) 1
Practitioners 2
-
Marisol Lebron, PHARMD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180305001031 | PR | Part B Supplier - Mass Immunization (Roster Biller Only) | 0941561146 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Lajas, PR; Yauco, PR |
National Provider Directory
- Tax ID family
- Familia Cortes-Lebron
Locations
3700 Carr 116
Lajas, PR 00667
1100 Carr 116
Ste 1
Yauco, PR 00698
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 19F3512 | PR | Yes |
Addresses
Primary practice location
Carr 121 KM 13.3
Sector Cuatro Calles, Bo. Susua Baja
Yauco, PR 00698
Mailing address
1100 Carr 116 Ste 1
Yauco, PR 00698-4693
Phone (787) 987-8036
Other names
- Farmacia San Pedro
Other providers in Yauco, PR
- Jamylah Escobar
- Esperanza MD LLC
- Krystal Espinosa Ramos
- Melissa Esteva
- Neysa Sujelly Fabre-Pacheco
- Family Medical Supply, Corp
- Family Optical Center Inc.
- Family Optical Center Inc.
- Farmacia Barinas
- Farmacia Jesiah Inc.
All providers in Yauco, PR · Community/Retail Pharmacy 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 May 23, 2024. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.