Marielena Layuno Matos

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

3483 Issued in PR

Practice address

Carr 5 KM 0.25 Bo. Achiote Sector Tanita Morales Desvi
Naranjito, PR 00719

Phone

(787) 869-0401

NPI assigned

Feb 22, 2021

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1613952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706659200000",
    "number": "1194319046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 CALLE SANTIAGO IGLESIAS APT 7B",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009071810",
            "telephone_number": "787-644-6294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 5 KM 0.25 BO. ACHIOTE SECTOR TANITA MORALES DESVI",
            "city": "NARANJITO",
            "state": "PR",
            "postal_code": "00719",
            "telephone_number": "787-869-0401"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2114 Calle Turquesa",
            "address_purpose": "LOCATION",
            "city": "Guaynabo",
            "state": "PR",
            "postal_code": "009694982",
            "country_code": "US",
            "telephone_number": "787-720-6431",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAYUNO MATOS",
        "first_name": "MARIELENA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-22",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "PR",
            "license": "3483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laboratorio Clinico Edmarie
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• Felix De Jesus Lasanta Beltran
• Maria Enilda Lasanta Matos, R. PH
• Angel Fernando Laureano, M.D.
• LDL Ambulance Service Inc.
• Life Guardians Ambulance Service Inc
• Luz Neida Lizasuain
• Carmona Johanna Michelle Lopez
• Carolyn Lopez, PHARM TECH.

• Orthodontics and Dentofacial Orthopedics Dentistry in Naranjito, PR
• Providers in Naranjito, PR by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.