Individual provider Active NPI

Pedro Angel Lebron Ruiz

  • Family Medicine Physician
  • San Sebastian, PR
National Provider Identifier
1164886404
Registry record updated Jan 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
19465 Issued in PR
Practice address
Calle 1 Casa A8
Jardines de Guatemala
San Sebastian, PR 00685
Phone
(787) 215-6357
NPI assigned
Apr 13, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 19465 PR Primary

Addresses

Primary practice location

Calle 1 Casa A8
Jardines de Guatemala
San Sebastian, PR 00685

Mailing address

Calle 1 Casa A8
Jardines de Guatemala
San Sebastian, PR 00685
Phone (787) 597-3249

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180223000188 PR Practitioner - Family PracticePractitioner - General Practice 2062773617 Reassigns benefits to 1 organization
Practice locations: Guayama, PR; Ponce, PR

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Guayama Ims Hospital Medical Services LLCGroup PAC ID 5193189785, 2 clinicians

Practice addresses (Care Compare)

Calle Acerola Coto Laurel
Ponce, PR 00780
Phone (787) 866-6662

Hospital & facility affiliations

  • CMS Home Care Sur LLC Home health agency, Coto Laurel, PR, CCN 407036
  • Hospital Menonita Guayama Hospital, Guayama, PR, CCN 400048
  • Hospital Menonita Ponce Hospital, Ponce, PR, CCN 400113

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Inpatient Outpatient Medical Services LLC Family Medicine CurrentSince Apr 30, 2026 Accepting new patients
Guayama Ims Hospital Medical Services LLC Family Medicine CurrentSince Jul 21, 2025 Accepting new patients
Hospital Menonita Guayama Inc Past Accepting new patients
Hospital Menonita Ponce Inc Past Accepting new patients
Southeastern in Hospital Medical Services LLC PastSince Jun 12, 2022 Accepting new patients

Organizations & group practices 5

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1460505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769126400000",
    "number": "1164886404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CALLE 1 CASA A8",
            "address_2": "JARDINES DE GUATEMALA",
            "city": "SAN SEBASTIAN",
            "state": "PR",
            "postal_code": "00685",
            "telephone_number": "787-597-3249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE 1 CASA A8",
            "address_2": "JARDINES DE GUATEMALA",
            "city": "SAN SEBASTIAN",
            "state": "PR",
            "postal_code": "00685",
            "telephone_number": "787-215-6357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEBRON RUIZ",
        "first_name": "PEDRO",
        "middle_name": "ANGEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-13",
        "last_updated": "2026-01-23",
        "certification_date": "2026-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PR",
            "license": "19465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Sebastian, PR

Sources for this page

Verify at the official NPI Registry.