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Individual

LUIS LEBRON

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
40 CALLE CAPRI, URB. PASEO LAS BRISAS, SAN JUAN, PR 00926-5947
(787) 761-1701
Mailing address
CAPRI ST., URB.PASEO LAS BRISAS, SAN JUAN, PR 00926
(787) 761-1701

Taxonomy

Speciality
Code
Description
License number
State
146D00000X
Personal Emergency Response Attendant
Primary
10792
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10792
MD.P.R. LISENCE
PR
01
DM10409-1/BL3343097
NARCOTIC LISENCE
PR
Enumeration date
12/01/2005
Last updated
07/08/2007
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