Healthcare Provider Details

I. General information

NPI: 1962547265
Provider Name (Legal Business Name): MARIA MERCEDES LEBION NECO RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/21/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CALLE FRANCISIO CNZ #2 APARTADO 1330
CIDRA PR
00739
US

IV. Provider business mailing address

URBANIZACION VALLE DE LAS CALABAZAS CALLE 7 SOLAR 101 C URB JAIME C NODYING CALLE 6H3
YOBUCOA PR
00767
US

V. Phone/Fax

Practice location:
  • Phone: 787-739-8182
  • Fax: 787-282-1232
Mailing address:
  • Phone: 787-382-6019
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP2201X
TaxonomyAmbulatory Care Registered Nurse
License Number22756
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: