Individual provider Active NPI

Maribel Lebron, MD

  • Family Medicine Physician
  • San Juan, PR
National Provider Identifier
1194755546
Registry record updated Dec 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
12725 Issued in PR
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

Updated by the provider on Dec 23, 2009

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

ProcedureNumber of procedures
Colonoscopy1-10

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

Verify at the official NPI Registry.