Active NPI
Giovan E Hernandez Lebron, MD
- General Practice Physician
- Carolina, PR
National Provider Identifier
1225080880
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 13955
- Practice address
- Grupo Medico Samaritano
Barrio Barrazas Carr 182 KM 3
Carolina, PR 00981-0000 - Phone
- (787) 661-1070
- NPI assigned
- May 16, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 13955 | PR | Primary |
Addresses
Primary practice location
Grupo Medico Samaritano
Barrio Barrazas Carr 182 KM 3
Carolina, PR 00981-0000
Mailing address
Urb Cuidad Jardin 51 Calle Siempreviva
Gurabo, PR 00778-0000
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 |
|---|---|---|---|---|
| I20031203000277 | PR | Practitioner - General Practice | 6800791856 | Practice locations: San Lorenzo, PR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13955 | PR | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grupo Medico Samaritano PC | Current | Accepting new patients | |
| Doctors Ambulance Inc | Past | Accepting new patients | |
| First Call Ambulance, Inc. | Past | Accepting new patients | |
| Xpress Medical Transport Corp | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Emergency Medical Services (Emergency Medicine) Physician
- Carolina, PR
- NPI 1407125255
-
- Land Ambulance
- Juncos, PR
- NPI 1720037757
-
- Ambulance
- Fajardo, PR
- NPI 1457684458
-
- Land Ambulance
- Luquillo, PR
- NPI 1104166990
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1299628800000",
"number": "1225080880",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "URB CUIDAD JARDIN 51 CALLE SIEMPREVIVA",
"city": "GURABO",
"state": "PR",
"postal_code": "007780000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "GRUPO MEDICO SAMARITANO",
"address_2": "BARRIO BARRAZAS CARR 182 KM 3",
"city": "CAROLINA",
"state": "PR",
"postal_code": "009810000",
"telephone_number": "787-661-1070"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERNANDEZ LEBRON",
"first_name": "GIOVAN",
"middle_name": "E",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-16",
"last_updated": "2011-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "13955",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carolina, PR
- Brian Josue Hernandez Colon
- Patricia Edmee Hernandez Cruz, MCSW
- Leticia Hernandez Davila, M.D.
- Mariane Charline Hernandez Diaz, LM, CPM, CLC
- Juan M Hernandez Flores, PHD
- Jose Manuel Hernandez Loring, DMD MPH MS
- Reina M. Hernandez Rohena, OT
- Carmen N Hernandez Rojas, TR
- Miguel H. Hernandez-Gutierrez, M.D.
- Ivette Hernandez-Ramirez, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2011; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.