Mayra Cristina Gomez, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

2680 Issued in PR

Practice address

Urb Villa Hilda
A5 Strret 1
Yabucoa, PR 00767

Phone

(787) 266-3140

Fax

(787) 893-3922

NPI assigned

Nov 22, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609941822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1198",
            "city": "LAS PIEDRAS",
            "state": "PR",
            "postal_code": "007711198",
            "telephone_number": "787-266-3140",
            "fax_number": "787-893-3922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB VILLA HILDA",
            "address_2": "A5 STRRET 1",
            "city": "YABUCOA",
            "state": "PR",
            "postal_code": "00767",
            "telephone_number": "787-266-3140",
            "fax_number": "787-893-3922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ",
        "first_name": "MAYRA",
        "middle_name": "CRISTINA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PR",
            "license": "2680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zinnia A Garcia Pena, MD
• Adalis Garcia
• Migdalia Aned Garcias, TECHNICIAN
• Juan Santos Gomez Hernandez, MD
• Juan R Gomez, M.D.
• Maria Elizabeth Herrera Diaz, LMT
• Horizon Medical Solutions
• Hospital Menonita de Humacao Inc
• Idental Center, Professional Dentistry, CSP
• Idental Center, PSC

• Dentist in Yabucoa, PR
• Providers in Yabucoa, PR by specialty
• Dentist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.