Active NPI
Santos Luis Lebron, DMD
- Prosthodontics
- Guaynabo, PR
National Provider Identifier
1366594186
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- D01296
- Practice address
- D2 Calle 3
Mansiones de Guaynabo
Guaynabo, PR 00969-5224 - Phone
- (787) 790-1940
- NPI assigned
- Jan 18, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Prosthodontics | 1223P0700X | D01296 | PR | Primary |
Addresses
Primary practice location
D2 Calle 3
Mansiones de Guaynabo
Guaynabo, PR 00969-5224
Mailing address
D2 Calle 3
Mansiones de Guaynabo
Guaynabo, PR 00969-5224
Phone (787) 790-1940
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D01296 | PR | MD | Prosthodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1366594186",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "D2 CALLE 3",
"address_2": "MANSIONES DE GUAYNABO",
"city": "GUAYNABO",
"state": "PR",
"postal_code": "009695224",
"telephone_number": "787-790-1940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "D2 CALLE 3",
"address_2": "MANSIONES DE GUAYNABO",
"city": "GUAYNABO",
"state": "PR",
"postal_code": "009695224",
"telephone_number": "787-790-1940"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEBRON",
"first_name": "SANTOS",
"middle_name": "LUIS",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "PR",
"license": "D01296",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Guaynabo, PR
- Francisco Lebron Colorado, 1205P
- Efrain Lebron Rivera, 1371P
- Juan C. Lebron-Miro, M . D.
- Ada Iris Lebron, SPL/AUD.
- Mariangely Lebron, MSW
- Lenscrafters International Inc (Pearle Vision #C7224)
- Sol I. Leon Leon, 1697P
- Sharo R Leon Lopez
- Orlando M Leon Santiago, MD
- Maria Victoria Leon-Martinez, PHARM.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.