Yarelis L Lebron-Bultron, DENTAL ASSISTANT

Primary specialty

Dental AssistantTaxonomy code 126800000X

License

005495 Issued in PR

Practice address

99 Calle Guillermo Riefkhol
Patillas, PR 00723

Phone

(787) 839-4320

Fax

(787) 271-0004

NPI assigned

May 10, 2019

Last updated

May 10, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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": "1557446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557446400000",
    "number": "1306402722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 873",
            "city": "PATILLAS",
            "state": "PR",
            "postal_code": "007230873",
            "telephone_number": "787-839-4320",
            "fax_number": "787-271-0004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 CALLE GUILLERMO RIEFKHOL",
            "city": "PATILLAS",
            "state": "PR",
            "postal_code": "00723",
            "telephone_number": "787-839-4320",
            "fax_number": "787-271-0004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEBRON-BULTRON",
        "first_name": "YARELIS",
        "middle_name": "L",
        "credential": "DENTAL ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-10",
        "last_updated": "2019-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "126800000X",
            "taxonomy_group": "",
            "desc": "Dental Assistant",
            "state": "PR",
            "license": "005495",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTRY NUMBER",
            "identifier": "140539",
            "state": "PR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "yarel30@yahoo.com",
            "affiliation": "N",
            "address_1": "99 CALLE GUILLERMO RIEFKHOL",
            "city": "PATILLAS",
            "state": "PR",
            "country_code": "US",
            "postal_code": "00723",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Darieliz Laboy Morales
• Carmen Iris Laboy, LPN
• Nydia Laboy
• Yessibel Lebron Alicea
• Tanya Lebron Steidel
• Milton Luis Lebron, M.D.
• Jenileth Enid Lectora
• Esteban Orlando Lizarraga, MD
• Ana Meddie Llantin Pumarejo, CSW
• Catherine Lopez de Jesus

• Dental Assistant in Patillas, PR
• Providers in Patillas, PR by specialty
• Dental Assistant in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2019; 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.