Ivette Lebron in Lares - General Practice

Ivette Lebron - NPI 1902017551

Ivette Lebron is a General Practice in Lares, Puerto Rico. Ivette Lebron practices all healthcare services and medical treatments related to General Practice. The NPI Number for Ivette Lebron is 1902017551. The last update date is 2012-11-05.

Ivette Lebron's current location address is Pmb 112 Po Box 819, Lares, Puerto Rico. You can contact this provider via phone number 7878978787 and fax number 7878978787. The mailing address for Ivette Lebron is Pmb 112 Po Box 819, Lares, Puerto Rico. To know further, please read the information below!

Provider Profile Detail

Provider Name Ivette Lebron
Address Pmb 112 Po Box 819, Lares, Puerto Rico
Phone Number 7878978787
Fax Number 7878978787
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1902017551
Provider Enumeration Date 2007-05-25
Last Updated Date 2012-11-05

Provider Mailing Address Detail

Address Pmb 112 Po Box 819
City Lares
State Puerto Rico (PR)
Post Code 6699607
Phone Number 7878978787
Fax Number 7878978787

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 208D00000X
Licence No 16785
Definition:
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
16785 PR MD LICENSE

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FAQs about Ivette Lebron

What is the unique 10-digit identifier code assigned to Ivette Lebron by the Centers for Medicare & Medicaid Services?

The Ivette Lebron has been issued the NPI (National Provider Identifier) 1902017551 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please share the complete physical address where Ivette Lebron is geographically located?

The Ivette Lebron is physically situated at the following location: Pmb 112 Po Box 819, Lares, PR, 6699607.

What is Ivette Lebron's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Ivette Lebron is General Practice, and the corresponding taxonomy classification code for this specialized field is 208D00000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1902017551 to Ivette Lebron?

The Ivette Lebron received its 1902017551 assignment from the Centers for Medicare & Medicaid Services on 2007-05-25.

As of what date was the information regarding Ivette Lebron, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Ivette Lebron, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2012-11-05.

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