Active NPI
Mayra Vera, D.MD.
- General Practice Dentistry
- Carolina, PR
National Provider Identifier
1740285717
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 1591
- Practice address
- Fidalgo Diaz Ave.
DL-4 Villa Fontana
Carolina, PR 00983 - Phone
- (787) 762-0069
- Fax
- (787) 762-1822
- NPI assigned
- Jun 16, 2005
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 1591 | PR | Primary |
Addresses
Primary practice location
Fidalgo Diaz Ave.
DL-4 Villa Fontana
Carolina, PR 00983
Mailing address
PO Box 1892
Carolina, PR 00984-1892
Phone (787) 762-0069
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 206661 | Other | PR | PREFERRED HEALTH PLAN |
| 2448 | Other | PR | FIRST MEDICAL |
| 41441VE | Other | PR | TRIPLE-S, INC. |
| 6280051 | Other | PR | HUMANA DE PR |
| 041639 | Other | PR | LA CRUZ AZUL DE PR |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1740285717",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1892",
"city": "CAROLINA",
"state": "PR",
"postal_code": "009841892",
"telephone_number": "787-762-0069",
"fax_number": "787-762-1822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "FIDALGO DIAZ AVE.",
"address_2": "DL-4 VILLA FONTANA",
"city": "CAROLINA",
"state": "PR",
"postal_code": "00983",
"telephone_number": "787-762-0069",
"fax_number": "787-762-1822"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VERA",
"first_name": "MAYRA",
"name_prefix": "Dr.",
"credential": "D.MD.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "PR",
"license": "1591",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED HEALTH PLAN",
"identifier": "206661",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST MEDICAL",
"identifier": "2448",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRIPLE-S, INC.",
"identifier": "41441VE",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA DE PR",
"identifier": "6280051",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LA CRUZ AZUL DE PR",
"identifier": "041639",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Carolina, PR
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.