Individual provider Active NPI

Jorge Adrian Lebron-Mulero, M.D.

  • Pediatrics Physician
  • Ponce, PR
National Provider Identifier
1255349650
Registry record updated Feb 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
11198 Issued in PR
Practice address
Edificio Michelle Plaza
Suite 212 Barrio . Bucana Villa Flores
Ponce, PR 00716
Phone
(787) 646-9392
Fax
(787) 284-2400
NPI assigned
Aug 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 11198 PR Primary

Addresses

Primary practice location

Edificio Michelle Plaza
Suite 212 Barrio . Bucana Villa Flores
Ponce, PR 00716

Mailing address

PO Box 7101
Ponce, PR 00732-7101
Phone (787) 646-9392

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
11198PRMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Metro Ponce Inc Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455235200000",
    "number": "1255349650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7101",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007327101",
            "telephone_number": "787-646-9392",
            "fax_number": "787-284-2400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "EDIFICIO MICHELLE PLAZA",
            "address_2": "SUITE 212 BARRIO . BUCANA VILLA FLORES",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00716",
            "telephone_number": "787-646-9392",
            "fax_number": "787-284-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEBRON-MULERO",
        "first_name": "JORGE",
        "middle_name": "ADRIAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-03",
        "last_updated": "2016-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PR",
            "license": "11198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.