Provider Demographics
NPI:1215150255
Name:BARRETO, MAYRA E (DMD)
Entity type:Individual
Prefix:DR
First Name:MAYRA
Middle Name:E
Last Name:BARRETO
Suffix:
Gender:F
Credentials:DMD
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Mailing Address - Street 1:AVE ANTONIO R BARCELO
Mailing Address - Street 2:SIERRA DE CAYEY PLAZA SUITE 202
Mailing Address - City:CAYEY
Mailing Address - State:PR
Mailing Address - Zip Code:00736-3717
Mailing Address - Country:US
Mailing Address - Phone:787-263-4777
Mailing Address - Fax:787-738-0231
Practice Address - Street 1:AVE ANTONIO R BARCELO
Practice Address - Street 2:SIERRA DE CAYEY PLAZA SUITE 202
Practice Address - City:CAYEY
Practice Address - State:PR
Practice Address - Zip Code:00736-3717
Practice Address - Country:US
Practice Address - Phone:787-263-4777
Practice Address - Fax:787-738-0231
Is Sole Proprietor?:No
Enumeration Date:2007-04-10
Last Update Date:2024-02-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR12061223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry