Organization Active NPI

Laboratorio Clinico Lebron, Inc.

  • Clinical Medical Laboratory
  • San Sebastian, PR
National Provider Identifier
1497143721
Registry record updated Dec 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
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, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2023

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
O20170308001358 PR Part B Supplier - Independent Clinical Laboratory 8123302239 Practice locations: San Sebastian, PR

National Provider Directory

National Provider Directory

Locations

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.

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

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.

Verify at the official NPI Registry.