Individual provider Active NPI

Bianca Paola Cardona Lebron, MS

  • Psychologist
  • San Sebastian, PR
National Provider Identifier
1245120518
Registry record updated Jul 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
8358 Issued in PR
Practice address
67 Calle Pavia Fernandez
San Sebastian, PR 00685-2207
Phone
(787) 920-1310
NPI assigned
Jul 8, 2025
Last updated
Jul 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 8358 PR Primary
Family Psychologist 103TF0000X 8358 PR

Addresses

Primary practice location

67 Calle Pavia Fernandez
San Sebastian, PR 00685-2207

Mailing address

HC 4 Box 40142
San Sebastian, PR 00685-8515
Phone (787) 354-2963

Other practice location 1

Carr 435 Km 3.8 Bo Calabazas
San Sebastian, PR 00685
Phone (787) 354-2963

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251121002860 PR Practitioner - Clinical Psychologist 5597257055 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

67 Calle Pavia Fernandez
San Sebastian, PR 00685

HC 4 Box
San Sebastian, PR 00685

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Master of Science

State licenses

LicenseStateTypeSpecialty
8358PRMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Centro de Balance Emocional LLC Psychologist CurrentSince Sep 21, 2025 Accepting new patients

Locations

67 Calle Pavia Fernandez
San Sebastian, PR 00685
Phone (787) 517-2024

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1751932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752192000000",
    "number": "1245120518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 4 BOX 40142",
            "city": "SAN SEBASTIAN",
            "state": "PR",
            "postal_code": "006858515",
            "telephone_number": "787-354-2963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 CALLE PAVIA FERNANDEZ",
            "city": "SAN SEBASTIAN",
            "state": "PR",
            "postal_code": "006852207",
            "telephone_number": "787-920-1310"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Carr 435 Km 3.8 Bo Calabazas",
            "address_purpose": "LOCATION",
            "city": "San Sebastian",
            "state": "PR",
            "postal_code": "00685",
            "country_code": "US",
            "telephone_number": "787-354-2963",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARDONA LEBRON",
        "first_name": "BIANCA",
        "middle_name": "PAOLA",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-07-08",
        "last_updated": "2025-07-11",
        "certification_date": "2025-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PR",
            "license": "8358",
            "primary": true
        },
        {
            "code": "103TF0000X",
            "taxonomy_group": "",
            "desc": "Psychologist, Family",
            "state": "PR",
            "license": "8358",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Sebastian, PR

Sources for this page

Verify at the official NPI Registry.