Active NPI
Carlos Lebron, MSPT
- Physical Therapist
National Provider Identifier
1477089696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 004521
- Practice address
- Urb. Marbella Calle F #34
Aguadilla, PUERTO RICO 00603
UM - Phone
- (787) 930-0174
- NPI assigned
- May 8, 2017
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 004521 | PR | Primary |
Addresses
Primary practice location
Urb. Marbella Calle F #34
Aguadilla, PUERTO RICO 00603
UM
Mailing address
34 Calle F
Urb. Marbella
Aguadilla, PR 00603
Phone (787) 930-0174
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170705000736 | PR | Practitioner - Physical Therapist in Private Practice | 8527337682 |
Reassigns benefits to 1 organization Practice locations: Aguadilla, PR |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
Carr 107 KM
Aguadilla, PR 00603
Phone (787) 930-0174
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004521 | PR | MD | Pharmacy Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grupo Fisiatrico Y Terapia Fisica CSP | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Physical Medicine & Rehabilitation Physician
- Mayaguez, PR
- NPI 1114965837
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1494201600000",
"number": "1477089696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34 CALLE F",
"address_2": "URB. MARBELLA",
"city": "AGUADILLA",
"state": "PR",
"postal_code": "00603",
"telephone_number": "787-930-0174"
},
{
"country_code": "UM",
"country_name": "United States Minor Outlying Islands",
"address_purpose": "LOCATION",
"address_type": "FGN",
"address_1": "URB. MARBELLA CALLE F #34",
"city": "AGUADILLA",
"state": "PUERTO RICO",
"postal_code": "00603",
"telephone_number": "787-930-0174"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEBRON",
"first_name": "CARLOS",
"credential": "MSPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-05-08",
"last_updated": "2017-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PR",
"license": "004521",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.