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NPI Code Detail

MEDICARE: DR. CAROLINA LEBRON

MEDICARE: DR. CAROLINA LEBRON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist6226PR

General Provider Information

NPI Number : 1407258890
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CAROLINA LEBRON
Provider Business Mailing Address
First Line : 22 CALLE 25 DE JULIO
Second Line :
City : GUANICA
State : PR
Zip : 00653-2110
Country : US
Telephone Number : 787-510-4153
Fax Number :
Provider Business Practice Location Address
First Line : 150 CALLE F VIZCARRONDO
Second Line :
City : SAN JUAN
State : PR
Zip : 00926-4483
Country : US
Telephone Number : 787-755-1375
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/17/2014
Last Update Date : 09/17/2014

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Directions to “ DR. CAROLINA LEBRON ” Practice Location

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