Active NPI
Maribel Lebron, MD
- Family Medicine Physician
- San Juan, PR
National Provider Identifier
1194755546
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 12725
- Practice address
- Suite 606 la Torre de Plaza
Plaza Las Americas
San Juan, PR 00918-8058 - Phone
- (787) 764-7733
- NPI assigned
- Jul 3, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 12725 | PR | Primary |
Addresses
Primary practice location
Suite 606 la Torre de Plaza
Plaza Las Americas
San Juan, PR 00918-8058
Mailing address
PO Box 192561
San Juan, PR 00919-2561
Phone (787) 764-7733
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070423000068 | PR | Practitioner - Family Practice | 8123123015 | Practice locations: San Juan, PR |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Puerto Rico School of Medicine, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
Suite 606 la Torre
Plaza Las Americas
San Juan, PR 00918-0001
Phone (787) 764-7733
Suite 606 la Torre de Plaza
Plaza Las Americas
San Juan, PR 00918-8058
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1261526400000",
"number": "1194755546",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 192561",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009192561",
"telephone_number": "787-764-7733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "SUITE 606 LA TORRE DE PLAZA",
"address_2": "PLAZA LAS AMERICAS",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009188058",
"telephone_number": "787-764-7733"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEBRON",
"first_name": "MARIBEL",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-03",
"last_updated": "2009-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PR",
"license": "12725",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Dec 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.