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Individual

DR. MAYRA MILAGROS LEGRAND FLORES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.M.D.

Contact information

Practice address
AVE. TENIENTE N. MARTINEZ L17, URB. ALTURAS DE FLAMBOYAN, BAYAMON, PR 00959-6565
(787) 778-6349
(787) 780-5592
Mailing address
B18 CALLE SAN BARTOLOME, URB. NOTRE DAME, CAGUAS, PR 00725-3924
(787) 778-6349
(787) 780-5592

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2419
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
42377
TRIPLE S
PR
Enumeration date
02/06/2006
Last updated
05/28/2010
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