Individual provider Active NPI

Mary E Fiol Lay, DMD

  • General Practice Dentistry
  • Bayamon, PR
National Provider Identifier
1275675381
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
1054 Issued in PR
Practice address
Calle J Esq. Calle B Edificio Medico Hnas. Davila
Ofic. # 201
Bayamon, PR 00959
Phone
(787) 740-1665
Fax
(787) 269-4045
NPI assigned
Feb 13, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 1054 PR Primary

Addresses

Primary practice location

Calle J Esq. Calle B Edificio Medico Hnas. Davila
Ofic. # 201
Bayamon, PR 00959

Mailing address

PO Box 488
Bayamon, PR 00960-0488
Phone (787) 740-1665

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160428001974 PR Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 9931408721

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1054PRMDHealth Educator

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275675381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 488",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009600488",
            "telephone_number": "787-740-1665",
            "fax_number": "787-269-4045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE J ESQ. CALLE B EDIFICIO MEDICO HNAS. DAVILA",
            "address_2": "OFIC. # 201",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00959",
            "telephone_number": "787-740-1665",
            "fax_number": "787-269-4045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIOL LAY",
        "first_name": "MARY",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "1054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

Verify at the official NPI Registry.