Active NPI
Sergio A Lebron Lisboa, M.D.
- General Practice Physician
- Bayamon, PR
National Provider Identifier
1659435337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 9147
- Practice address
- Calle #3 C-13 Urbanizacion Santa Cruz
Bayamon, PR 00961 - Phone
- (787) 740-3095
- Fax
- (787) 780-3095
- NPI assigned
- Dec 20, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 9147 | PR | Primary |
Addresses
Primary practice location
Calle #3 C-13 Urbanizacion Santa Cruz
Bayamon, PR 00961
Mailing address
P. O. Box 6790
Bayamon Station, Flamboyan Gardens
Bayamon, PR 00960
Phone (787) 740-3095
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 38663000 | Medicaid | PR |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090801000031 | PR | Practitioner - General Practice | 3577616929 | Practice locations: Bayamon, PR |
Care Compare profile
Medicare Care Compare- Specialty
- General Practice
- Education
- Other, 1985
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
Calle 3
13 Urb Santa Cruz
Bayamon, PR 00961
Phone (787) 740-3095
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 122 |
| Removal of nail tissue | 16 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 40 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9147 | PR | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768176000000",
"number": "1659435337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P. O. BOX 6790",
"address_2": "BAYAMON STATION, FLAMBOYAN GARDENS",
"city": "BAYAMON",
"state": "PR",
"postal_code": "00960",
"telephone_number": "787-740-3095",
"fax_number": "787-780-3095"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CALLE #3 C-13 URBANIZACION SANTA CRUZ",
"city": "BAYAMON",
"state": "PR",
"postal_code": "00961",
"telephone_number": "787-740-3095",
"fax_number": "787-780-3095"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEBRON LISBOA",
"first_name": "SERGIO",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-20",
"last_updated": "2026-01-12",
"certification_date": "2026-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "9147",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "38663000",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bayamon, PR
- Carlos A Latimer, MD FACP FACG
- Camille Sofia Latoni Guillermety, MS SLP
- Maria del Carmen Laureano Navarro, RN
- Jorge Lazaro Escudero
- Carmen Mabel Lebron Gonzalez, MD
- Rebecca Nicohl Lebron
- Maria Antonia Lecumberry, M.D.
- Isseline Ledesma Rivera
- Mayra Milagros Legrand Flores, D.M.D.
- Lenscrafters International Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.