Active NPI
Laboratorio Clinico Lebron, Inc.
- Clinical Medical Laboratory
- San Sebastian, PR
National Provider Identifier
1497143721
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- LABORATORIO CLINICO LEBRON, INC.
- Practice address
- Ave Emerito Estrada
Edif San Sebastian Medical K 21 9
San Sebastian, PR 00685-2360 - Phone
- (787) 896-7777
- NPI assigned
- Jan 9, 2015
- Last updated
- Dec 22, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Vincenzo Ferrante Ruiz
- Title
- Administrator
- Phone
- (787) 412-7111
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
Ave Emerito Estrada
Edif San Sebastian Medical K 21 9
San Sebastian, PR 00685-2360
Mailing address
PO Box 9975
Arecibo, PR 00613-9975
Phone (787) 896-2195
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170308001358 | PR | Part B Supplier - Independent Clinical Laboratory | 8123302239 | Practice locations: San Sebastian, PR |
National Provider Directory
National Provider DirectoryLocations
23 Calle Andres Mendez Liciaga
San Sebastian, PR 00685
Phone (787) 896-2195
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Emergency Medicine Physician
- Hatillo, PR
- NPI 1639119670
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1420761600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1703203200000",
"number": "1497143721",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9975",
"city": "ARECIBO",
"state": "PR",
"postal_code": "006139975",
"telephone_number": "787-896-2195",
"fax_number": "787-896-2195"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "AVE EMERITO ESTRADA",
"address_2": "EDIF SAN SEBASTIAN MEDICAL K 21 9",
"city": "SAN SEBASTIAN",
"state": "PR",
"postal_code": "006852360",
"telephone_number": "787-896-7777"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LABORATORIO CLINICO LEBRON, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2015-01-09",
"last_updated": "2023-12-22",
"certification_date": "2023-12-21",
"status": "A",
"authorized_official_last_name": "FERRANTE RUIZ",
"authorized_official_first_name": "VINCENZO",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "787-412-7111"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Sebastian, PR
- Laboratorio Clinico Hato Arriba
- Laboratorio Clinico Hoyamala
- Laboratorio Clinico Irizarry Guasch
- Laboratorio Clinico Irizarry Guasch
- Laboratorio Clinico Irizarry Guasch Inc
- Laboratorio Clinico Padua LLC
- Laboratorio Clinico Pujols, Inc.
- Laboratorio Clinico San Antonio
- Mayra I Laguerre Rosa
- Confesor Lasalle-Ruiz, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.