Individual provider Active NPI

Marangeliz Lebron, MS. SLP

  • Speech-Language Pathologist
  • San Juan, PR
National Provider Identifier
1992113567
Registry record updated Dec 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
3058 Issued in PR
Practice address
759 Ave Avelino Vicente
Urb. Hipodromo
San Juan, PR 00909-2538
Phone
(787) 303-9662
NPI assigned
Jul 28, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Assistant 2355S0801X 2188 PR
Speech-Language Pathologist 235Z00000X 3058 PR Primary

Addresses

Primary practice location

759 Ave Avelino Vicente
Urb. Hipodromo
San Juan, PR 00909-2538

Mailing address

E26 Calle 1
Jardines de Guatemala
San Sebastian, PR 00685-2151
Phone (787) 903-0704

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
3058PRMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1406505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449446400000",
    "number": "1992113567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "E26 CALLE 1",
            "address_2": "JARDINES DE GUATEMALA",
            "city": "SAN SEBASTIAN",
            "state": "PR",
            "postal_code": "006852151",
            "telephone_number": "787-903-0704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "759 AVE AVELINO VICENTE",
            "address_2": "URB. HIPODROMO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009092538",
            "telephone_number": "787-303-9662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEBRON",
        "first_name": "MARANGELIZ",
        "name_prefix": "Miss",
        "credential": "MS. SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-28",
        "last_updated": "2015-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "PR",
            "license": "2188",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PR",
            "license": "3058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.