Individual provider Active NPI

Giovan E Hernandez Lebron, MD

  • General Practice Physician
  • Carolina, PR
National Provider Identifier
1225080880
Registry record updated Mar 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
13955 Issued in PR
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

Updated by the provider on Mar 9, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
13955PRMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Grupo Medico Samaritano PC CurrentSince Oct 30, 2012 Accepting new patients
Doctors Ambulance Inc PastSince May 21, 2004 Accepting new patients
First Call Ambulance, Inc. PastSince Sep 15, 2009 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.

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

Sources for this page

Verify at the official NPI Registry.