Individual provider Active NPI

Sandra E Rosario Lebron, MD, FCCP

  • Pulmonary Disease Physician
  • San Juan, PR
National Provider Identifier
1497745129
Registry record updated Feb 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
12831 Issued in PR
Practice address
Edif Clinica Las Americas Ofic 205
400 Roosevelt Ave
San Juan, PR 00918
Phone
(787) 765-1919
Fax
(787) 763-4049
NPI assigned
Oct 25, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 12831 PR
Pulmonary Disease Physician 207RP1001X 12831 PR Primary

Addresses

Primary practice location

Edif Clinica Las Americas Ofic 205
400 Roosevelt Ave
San Juan, PR 00918

Mailing address

Edif Clinica Las Americas Ofic 205
400 Roosevelt Ave
San Juan, PR 00918
Phone (787) 765-1919

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100805000849 PR Practitioner - Pulmonary DiseasePractitioner - Internal Medicine 3173545738 Reassigns benefits to 1 organization
Practice locations: San Juan, PR

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
University of Puerto Rico School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Instituto Neumologico de Puerto RicoGroup PAC ID 3274555826, 4 clinicians

Practice addresses (Care Compare)

Ave Roosevelt
San Juan, PR 00918
Phone (787) 763-5764

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
12831PRMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jenss PSC Pulmonary Disease Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: sandra.rosario@1191.chartlogic.direct-ci.com

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1130198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707264000000",
    "number": "1497745129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "EDIF CLINICA LAS AMERICAS OFIC 205",
            "address_2": "400 ROOSEVELT AVE",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00918",
            "telephone_number": "787-765-1919",
            "fax_number": "787-763-4049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "EDIF CLINICA LAS AMERICAS OFIC 205",
            "address_2": "400 ROOSEVELT AVE",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00918",
            "telephone_number": "787-765-1919",
            "fax_number": "787-763-4049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSARIO LEBRON",
        "first_name": "SANDRA",
        "middle_name": "E",
        "name_prefix": "Ms.",
        "credential": "MD, FCCP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-25",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PR",
            "license": "12831",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "PR",
            "license": "12831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.