Individual
IVETTE LEBRON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
CARR 129 KM 23.5, LARES, PR 00669-0000
(787) 897-8787
(787) 897-8787
Mailing address
PMB 112 PO BOX 819, LARES, PR 00669-9607
(787) 897-8787
(787) 897-8787
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
16785
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16,785
MD LICENSE
PR
Enumeration date
05/25/2007
Last updated
11/05/2012
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