Basic Information
Provider Information | |||||||||
NPI: | 1629005863 | ||||||||
EntityType: | 1 | ||||||||
ReplacementNPI: |   | ||||||||
OrganizationName: |   | ||||||||
LastName: | LEBRON-ARZON | ||||||||
FirstName: | FRANCISCO | ||||||||
MiddleName: | A | ||||||||
NamePrefix: |   | ||||||||
NameSuffix: |   | ||||||||
Credential: | MD | ||||||||
OtherOrganizationName: |   | ||||||||
OtherOrganizationType: |   | ||||||||
OtherLastName: |   | ||||||||
OtherFirstName: |   | ||||||||
OtherMiddleName: |   | ||||||||
OtherNamePrefix: |   | ||||||||
OtherNameSuffix: |   | ||||||||
OtherCredential: |   | ||||||||
OtherLastNameType: |   | ||||||||
Mailing Information | |||||||||
Address1: | ANESTESIOLOGIA RCM SUITE 989 | ||||||||
Address2: | CENTRO MEDICO DE PR, BO. MONACILLOS | ||||||||
City: | RIO PIEDRAS | ||||||||
State: | PR | ||||||||
PostalCode: | 00935 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 7877580640 | ||||||||
FaxNumber: | 7877581327 | ||||||||
Practice Location | |||||||||
Address1: | ANESTESIOLOGIA RCM SUITE A-989 | ||||||||
Address2: | APARTADO 365067 | ||||||||
City: | SAN JUAN | ||||||||
State: | PR | ||||||||
PostalCode: | 009365067 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 7877580640 | ||||||||
FaxNumber: | 7877581327 | ||||||||
Other Information | |||||||||
ProviderEnumerationDate: | 06/26/2006 | ||||||||
LastUpdateDate: | 01/13/2011 | ||||||||
NPIDeactivationReasonCode: |   | ||||||||
NPIDeactivationDate: |   | ||||||||
NPIReactivationDate: |   | ||||||||
ProviderGenderCode: | M | ||||||||
AuthorizedOfficialLastName: |   | ||||||||
AuthorizedOfficialFirstName: |   | ||||||||
AuthorizedOfficialMiddleName: |   | ||||||||
AuthorizedOfficialTitleorPosition: |   | ||||||||
AuthorizedOfficialTelephone: |   | ||||||||
IsSoleProprietor: | N | ||||||||
IsOrganizationSubpart: |   | ||||||||
ParentOrganizationLBN: |   | ||||||||
AuthorizedOfficialNamePrefix: |   | ||||||||
AuthorizedOfficialNameSuffix: |   | ||||||||
AuthorizedOfficialCredential: |   | ||||||||
NPICertificationDate: |   |
Taxonomy Information
Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207L00000X | 15293 | PR | N |   | Allopathic & Osteopathic Physicians | Anesthesiology |   | 207LP2900X | 15293 | PR | Y |   | Allopathic & Osteopathic Physicians | Anesthesiology | Pain Medicine |
ID Information
ID | Type | State | Issuer | Description | 2-3887 | 01 | PR | SSS | OTHER |