Individual provider Active NPI

Mayra E Barreto, DMD

  • Pediatric Dentistry
  • Cayey, PR
National Provider Identifier
1215150255
Registry record updated Feb 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
1206 Issued in PR
Practice address
Ave Antonio R Barcelo
Sierra de Cayey Plaza Suite 202
Cayey, PR 00736-3717
Phone
(787) 263-4777
Fax
(787) 738-0231
NPI assigned
Apr 10, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 1206 PR Primary

Addresses

Primary practice location

Ave Antonio R Barcelo
Sierra de Cayey Plaza Suite 202
Cayey, PR 00736-3717

Mailing address

Ave Antonio R Barcelo
Sierra de Cayey Plaza Suite 202
Cayey, PR 00736-3717
Phone (787) 263-4777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1206PRMDNutrition Education Nutritionist

NPI Registry JSON

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708473600000",
    "number": "1215150255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "AVE ANTONIO R BARCELO",
            "address_2": "SIERRA DE CAYEY PLAZA SUITE 202",
            "city": "CAYEY",
            "state": "PR",
            "postal_code": "007363717",
            "telephone_number": "787-263-4777",
            "fax_number": "787-738-0231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE ANTONIO R BARCELO",
            "address_2": "SIERRA DE CAYEY PLAZA SUITE 202",
            "city": "CAYEY",
            "state": "PR",
            "postal_code": "007363717",
            "telephone_number": "787-263-4777",
            "fax_number": "787-738-0231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRETO",
        "first_name": "MAYRA",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-10",
        "last_updated": "2024-02-21",
        "certification_date": "2024-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "PR",
            "license": "1206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cayey, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 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.