Provider Demographics
NPI:1538226618
Name:MAYOR-BECERRA, JANET (DMD)
Entity type:Individual
Prefix:DR
First Name:JANET
Middle Name:
Last Name:MAYOR-BECERRA
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:H4 CALLE ANDALUCIA
Mailing Address - Street 2:
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00983-1506
Mailing Address - Country:US
Mailing Address - Phone:787-768-2293
Mailing Address - Fax:
Practice Address - Street 1:AVENIDA MONSERRATE AC-4
Practice Address - Street 2:
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00983
Practice Address - Country:US
Practice Address - Phone:787-762-3644
Practice Address - Fax:787-776-8345
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR20181223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice