Individual provider Active NPI

Sergio A Lebron Lisboa, M.D.

  • General Practice Physician
  • Bayamon, PR
National Provider Identifier
1659435337
Registry record updated Jan 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
9147 Issued in PR
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

Updated by the provider on Jan 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
38663000MedicaidPR

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
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

ProcedureNumber of procedures
Removal of skin lesions122
Removal of nail tissue16
Removal or shaving of skin growth1-10
Skin biopsy40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9147PRMDGeneral 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

Sources for this page

Verify at the official NPI Registry.