Individual provider Active NPI

Edlyn Lorell Bayron Aubret, MD

  • General Practice Physician
  • Sabana Grande, PR
National Provider Identifier
1205409687
Registry record updated Oct 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
22396 Issued in PR
Practice address
Carr 363 KM 0.9 Int 0.1 Bo la Maquina
Sabana Grande, PR 00637
Phone
(787) 383-4315
NPI assigned
Jul 22, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 22396 PR Primary

Addresses

Primary practice location

Carr 363 KM 0.9 Int 0.1 Bo la Maquina
Sabana Grande, PR 00637

Mailing address

HC 10 Box 7494
Sabana Grande, PR 00637-9673
Phone (787) 383-4315

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211029000126 PR Practitioner - General Practice 1153719828 Practice locations: Sabana Grande, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1626912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634688000000",
    "number": "1205409687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 10 BOX 7494",
            "city": "SABANA GRANDE",
            "state": "PR",
            "postal_code": "006379673",
            "telephone_number": "787-383-4315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 363 KM 0.9 INT 0.1 BO LA MAQUINA",
            "city": "SABANA GRANDE",
            "state": "PR",
            "postal_code": "00637",
            "telephone_number": "787-383-4315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAYRON AUBRET",
        "first_name": "EDLYN",
        "middle_name": "LORELL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-22",
        "last_updated": "2021-10-20",
        "certification_date": "2021-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "22396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sabana Grande, PR

Sources for this page

Verify at the official NPI Registry.