| Doctor Name: | DR. JOBSE I LEBRON PEREZ |
| NPI Number: | 1427367077 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 18015 |
| Business Practice Address: | 404 Ave General Valero Suite 309 Torre Medica Del Este Fajardo, PR - 007383992 |
| Business Phone Number: | 7874668190 |
| Business Fax Number: | |
| Mailing Address: | Po Box 1061, FAJARDO |
| State: | PR |
| Postal Code: | 007381061 |
| Phone Number: | 7874668190 |
| Fax Number: | 7876554402 |
| NPI Enumeration Date: | 09/30/2010 |
| NPI Last Update Date: | 06/19/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 18015 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |