Familia Cortes-Lebron
Organization Active NPI Community/Retail Pharmacy · Lajas, PR
NPI 1164537395 · NPPES record last updated May 23, 2024
Key facts
- NPI
- 1164537395
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 15-F-3175 (PR)
- Legal business name
- FAMILIA CORTES-LEBRON
- Practice address
- Carr 116 Int Carr 304 KM 0.1
Lajas, PR 00667-9162 - Phone
- (787) 899-8719
- Fax
- (787) 899-8359
- NPI assigned
- Aug 20, 2006
- Organization subpart
- No
Authorized official
- Name
- Marisol Lebron, PHARMD
- Title
- Vice-President
- Phone
- (787) 899-8719
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 Practice locations: Lajas, PR; Yauco, PR |
National Provider Directory
- Tax ID family
- Familia Cortes-Lebron
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 15-F-3175 | PR | Yes |
Addresses
Primary practice location
Carr 116 Int Carr 304 KM 0.1
Lajas, PR 00667-9162
Mailing address
3700 Carr 116
PMB # 101
Lajas, PR 00667-9162
Phone (787) 899-8719
Other names
- Farmacia San Pedro
Other providers in Lajas, PR
- Ivan Del Toro Martinez
- Dental4Life Caribbean LLC
- Elvis Dominguez
- Enrique Ramirez Torres III
- Rafael E Escabi
- Farmacia Belmonte del Oeste Inc
- Farmacia Central R&P Inc.
- Farmacia San Pablo San Pedro Inc.
- Jaime A Figueroa Sosa
- Mara E Figueroa
All providers in Lajas, 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.