Juan R Lebron LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME115079 Issued in FL

Legal business name

JUAN R LEBRON LLC

Practice address

101 E Florida Ave
Melbourne, FL 32901-8301

Phone

(321) 984-4600

NPI assigned

Feb 25, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Juan R Lebron, M.D.NPI 1487810545

Title

President

Phone

(315) 373-3412

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Juan Ramon Lebron, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Melbourne, FL
  • NPI 1487810545
  Medicare reassignment NPD Authorized official
• Shelina Paradis, ARNP

  • Gerontology Nurse Practitioner
  • Melbourne, FL
  • NPI 1861772527
  NPD

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

{
    "created_epoch": "1361750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717027200000",
    "number": "1619217809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5965 S TROPICAL TRL",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329527122",
            "telephone_number": "315-373-3412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E FLORIDA AVE",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329018301",
            "telephone_number": "321-984-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUAN R LEBRON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-25",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A",
        "authorized_official_last_name": "LEBRON",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "315-373-3412",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME115079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brianna Colleen Jost
• Heidi Marie Joyce, PTA
• Stacey Lynn Joyner, ARNP
• Walter H Joyner, PA
• Jrgdc99 Services LLC
• Julie Gelman, MD, LLC
• Melissa Justis, LMHC
• K Frederick Ho M D P a
• K&H Home Health, LLC
• K&H in-Home Care and Assistance LLC

• Specialist in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2024; 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.