Individual provider Active NPI

Gerardo Sanz Lebron

  • Clinical Psychologist
  • Bayamon, PR
National Provider Identifier
1194713982
Registry record updated Feb 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1367 Issued in PR
Practice address
Edif Las Torres Sur
Sute 2-B
Bayamon, PR 00959-5920
Phone
(787) 785-8242
NPI assigned
Oct 6, 2005
Last updated
Feb 21, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 1367 PR Primary

Addresses

Primary practice location

Edif Las Torres Sur
Sute 2-B
Bayamon, PR 00959-5920

Mailing address

Las Torres Sur
3 Calle Isleta Ste 2E
Bayamon, PR 00959-5921
Phone (787) 949-1234

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
1367PRMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1128556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550707200000",
    "number": "1194713982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "LAS TORRES SUR",
            "address_2": "3 CALLE ISLETA STE 2E",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009595921",
            "telephone_number": "787-949-1234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "EDIF LAS TORRES SUR",
            "address_2": "SUTE 2-B",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009595920",
            "telephone_number": "787-785-8242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANZ LEBRON",
        "first_name": "GERARDO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-06",
        "last_updated": "2019-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "1367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

Verify at the official NPI Registry.