Dermatology And Mohs Surgery Associates Llc
LBN: Dermatology And Mohs Surgery Associates Llc
Dermatology And Mohs Surgery Associates Llc is an health care organization with primary practice located at 525 Fd Roosevelt Avenue Suite 712 , San Juan PR 00918. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery. Allopathic & Osteopathic Physicians / Dermatology is the primary health care specialty.
Dermatology And Mohs Surgery Associates Llc can be contacted via phone (787) 764-6611, or through Davila - De Pedro, Roberto Luis via phone (787) 764-6611.
Contact Information
Primary practice address
525 Fd Roosevelt Avenue Suite 712
San Juan PR 00918
Phone: (787) 764-6611
Fax: (787) 957-3110
Website:
Authorized official contact:
Name: Davila - De Pedro, Roberto Luis Doctor of Medicine (MD)
Phone: (787) 764-6611
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | ||
| Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery | 207ND0101X |
Profile Details
| NPI number | 1124689831 |
|---|---|
| LBN Legal business name | Dermatology And Mohs Surgery Associates Llc |
| DBA Doing business as | |
| Authorized official | Davila - De Pedro, Roberto Luis Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 24th, 2019 |
| Last updated | Apr 13th, 2022 - about 2 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124689831 | NPPES |
| Puerto Rico | Other | 27404 | MEDICAL CARD SYSTEM |
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