Mayra Milagros Legrand Flores, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2419 Issued in PR

Practice address

Ave. Teniente N. Martinez L17
Urb. Alturas de Flamboyan
Bayamon, PR 00959-6565

Phone

(787) 778-6349

Fax

(787) 780-5592

NPI assigned

Feb 6, 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

Other identifiers 1

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

Practice roles

Locations

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.

• Cossma Inc

  • Primary Care Clinic/Center
  • Cidra, PR
  • NPI 1437235793
  Medicare reassignment NPD
• Cossma, Inc.

  • Clinical Medical Laboratory
  • Humacao, PR
  • NPI 1407408347
  NPD

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

{
    "created_epoch": "1139184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275004800000",
    "number": "1699747345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "B18 CALLE SAN BARTOLOME",
            "address_2": "URB. NOTRE DAME",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007253924",
            "telephone_number": "787-778-6349",
            "fax_number": "787-780-5592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE. TENIENTE N. MARTINEZ L17",
            "address_2": "URB. ALTURAS DE FLAMBOYAN",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009596565",
            "telephone_number": "787-778-6349",
            "fax_number": "787-780-5592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEGRAND FLORES",
        "first_name": "MAYRA",
        "middle_name": "MILAGROS",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-06",
        "last_updated": "2010-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "2419",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE S",
            "identifier": "42377",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carmen Mabel Lebron Gonzalez, MD
• Sergio A Lebron Lisboa, M.D.
• Rebecca Nicohl Lebron
• Maria Antonia Lecumberry, M.D.
• Isseline Ledesma Rivera
• Lenscrafters International Inc
• Desiree Leon Berrios, MD
• Alberto Leon, MD
• Angelica Leon
• Lisette Letriz, NL

• General Practice Dentistry in Bayamon, PR
• Providers in Bayamon, PR by specialty
• General Practice Dentistry in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2010; 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.