1962547265 NPI number — MARIA MERCEDES LEBION NECO RN

Table of content: MARIA MERCEDES LEBION NECO RN (NPI 1962547265)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1962547265 NPI number — MARIA MERCEDES LEBION NECO RN

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
LEBION NECO
Provider First Name:
MARIA
Provider Middle Name:
MERCEDES
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
RN
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1962547265
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
URBANIZACION VALLE DE LAS CALABAZAS CALLE 7 SOLAR 101 C
Provider Second Line Business Mailing Address:
URB JAIME C NODYING CALLE 6H3
Provider Business Mailing Address City Name:
YOBUCOA
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00767
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
787-382-6019
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
CALLE FRANCISIO CNZ #2
Provider Second Line Business Practice Location Address:
APARTADO 1330
Provider Business Practice Location Address City Name:
CIDRA
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00739
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-739-8182
Provider Business Practice Location Address Fax Number:
787-282-1232
Provider Enumeration Date:
02/21/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 163WP2201X , with the licence number:  22756 , registered in the state of PR ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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