Individual provider Active NPI

Yinayra Victoria, DMD, MMSC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Humacao, PR
National Provider Identifier
1265507693
Registry record updated Jul 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
2759 Issued in PR
Practice address
6 Urb Gomez
Humacao, PR 00791-4224
Phone
(787) 852-1550
NPI assigned
Nov 21, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2759 PR
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 2759 PR Primary

Addresses

Primary practice location

6 Urb Gomez
Humacao, PR 00791-4224

Mailing address

PO Box 497
Juana Diaz, PR 00795-0497
Phone (787) 744-1226

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
2759PRMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Centro Ortodontico Dra. Annelisse Figueroa Orthodontics and Dentofacial Orthopedics PastSince Jul 17, 2022 Accepting new patients
Centro Ortodontico DRS. Figueroa Orthodontics and Dentofacial Orthopedics PastSince Jul 17, 2022 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657497600000",
    "number": "1265507693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 497",
            "city": "JUANA DIAZ",
            "state": "PR",
            "postal_code": "007950497",
            "telephone_number": "787-744-1226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 URB GOMEZ",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "007914224",
            "telephone_number": "787-852-1550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VICTORIA",
        "first_name": "YINAYRA",
        "name_prefix": "Dr.",
        "credential": "DMD, MMSC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-21",
        "last_updated": "2022-07-11",
        "certification_date": "2022-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "2759",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "PR",
            "license": "2759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Humacao, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2022; 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.