Dermatology And Mohs Surgery Associates LLC
Dermatology in San Juan, Puerto Rico
1124689831- Practice location
- 525 Fd Roosevelt Avenue Suite 712, San Juan, PR 00918
- Phone
- 787-764-6611
- Fax
- 787-957-3110
- Last updated
- April 13, 2022
Dermatology And Mohs Surgery Associates LLC is a healthcare organization based in San Juan, PR. Dermatology And Mohs Surgery Associates LLC practices in San Juan, PR. The NPI Number for Dermatology And Mohs Surgery Associates LLC is 1124689831. The current practice location address for Dermatology And Mohs Surgery Associates LLC is 525 Fd Roosevelt Avenue Suite 712, San Juan, PR 00918 and can be reached out via phone at 787-764-6611 and via fax at 787-957-3110.
Provider Profile Details
- NPI Number
- 1124689831
- Provider Name
- Dermatology And Mohs Surgery Associates LLC
- Provider Entity Type
- Organization
- Address
- 525 Fd Roosevelt Avenue Suite 712, San Juan, PR 00918
- Phone Number
- 787-764-6611
- Fax Number
- 787-957-3110
- Primary Taxonomy
- Dermatology · 207N00000X
- Organization Subpart
- No
- Authorized Official
- Mr. Roberto Luis Davila - De Pedro, MD · Dermatologist And Mohs Surgeon · 787-764-6611
- Provider Enumeration Date
- June 24, 2019
- Last Update Date
- April 13, 2022
- Certification Date
- April 13, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 525 Fd Roosevelt Avenue Suite 712
San Juan, PR 00918 - City
- San Juan
- State
- Puerto Rico
- Zip
- 00918
- Phone Number
- 787-764-6611
- Fax Number
- 787-957-3110
Provider Business Mailing Address Details
- Address
- Po Box 191259
525 Fd Roosevelt Avenue Suite 712
San Juan, PR 00919 - City
- San Juan
- State
- PR
- Zip
- 00919
- Phone Number
- 787-764-6611
- Fax Number
- 787-957-3110
License Information
- Taxonomy (1)
- Dermatology, MOHS-Micrographic Surgery · 207ND0101X
- Taxonomy (2)
- Dermatology · 207N00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dermatology providers near San Juan, PR
View all Dermatology providers in San Juan →Frequently Asked Questions
What is the NPI number of Dermatology And Mohs Surgery Associates LLC?
The NPI number of Dermatology And Mohs Surgery Associates LLC is 1124689831. It was assigned on June 24, 2019 and is currently active in the NPPES registry.
What is the specialty of Dermatology And Mohs Surgery Associates LLC?
Dermatology And Mohs Surgery Associates LLC is registered under the primary taxonomy Dermatology (code 207N00000X).
Where does Dermatology And Mohs Surgery Associates LLC practice?
The practice location is 525 Fd Roosevelt Avenue Suite 712, San Juan, PR 00918. The office can be reached at 787-764-6611 (phone) or 787-957-3110 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1124689831 directly on the NPPES registry website.