Carmen Nilda Lebron-Maldonado
Individual provider Active NPI Internal Medicine Physician · Isla Verde, PR
NPI 1508927484 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1508927484
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 10431 (PR)
- Practice address
- Centro de Terapia Fisica Isla Verde
Laguna Gardens Suite 211
Isla Verde, PR 00979 - Phone
- (787) 448-9696
- NPI assigned
- Dec 13, 2006
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10431 | PR | MD | Internal Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 10431 | PR | Yes |
Addresses
Primary practice location
Centro de Terapia Fisica Isla Verde
Laguna Gardens Suite 211
Isla Verde, PR 00979
Mailing address
PMB 173
PO Box 7891
Guaynabo, PR 00970-7891
Phone (787) 448-9696
Other providers in Isla Verde, PR
All providers in Isla Verde, PR · Internal Medicine Physician in Puerto Rico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.