Derma Medical Professional Corporation in San Juan - Specialist

Derma Medical Professional Corporation - NPI 1215121827

Derma Medical Professional Corporation is a Specialist in San Juan, Puerto Rico. Derma Medical Professional Corporation practices all healthcare services and medical treatments related to Specialist. The NPI Number for Derma Medical Professional Corporation is 1215121827. The last update date is 2012-03-23.

Derma Medical Professional Corporation's current location address is Ave Ponce De Leon 735, San Juan, Puerto Rico. You can contact this provider via phone number 7877595122 and fax number 7877534797. The mailing address for Derma Medical Professional Corporation is Ave Ponce De Leon 735, San Juan, Puerto Rico. To know further, please read the information below!

Provider Profile Detail

Provider Organization Derma Medical Professional Corporation
Address Ave Ponce De Leon 735, San Juan, Puerto Rico
Phone Number 7877595122
Fax Number 7877534797
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Alonso Ursa Norma
Credentials M.D.
Telephone Number 7877595122

NPI Number Detail

NPI Number 1215121827
Provider Enumeration Date 2007-08-28
Last Updated Date 2012-03-23

Provider Mailing Address Detail

Address Ave Ponce De Leon 735
City San Juan
State Puerto Rico (PR)
Post Code 917
Phone Number 7877595122
Fax Number 7877534797

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No 12164
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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FAQs about Derma Medical Professional Corporation

What is the unique identifier code issued to Derma Medical Professional Corporation by the Centers for Medicare & Medicaid Services (CMS)?

The Derma Medical Professional Corporation has been assigned the NPI (National Provider Identifier) 1215121827. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Can you provide the Derma Medical Professional Corporation's physical address?

The Derma Medical Professional Corporation is physically located at Ave Ponce De Leon 735, in the city of San Juan, PR, with the postal code 917.

What is Derma Medical Professional Corporation's area of expertise and its corresponding taxonomy classification?

The Derma Medical Professional Corporation's field of specialization is Specialist, and it falls under the taxonomy code 174400000X, which categorizes healthcare providers based on their areas of practice.

On what date did the Centers for Medicare & Medicaid Services issue the 1215121827 to Derma Medical Professional Corporation?

The Derma Medical Professional Corporation received its 1215121827 assignment from the Centers for Medicare & Medicaid Services on 2007-08-28.

As of what date were the details related to Derma Medical Professional Corporation most recently updated or revised?

The information pertaining to Derma Medical Professional Corporation, including its address, specialty, and other relevant details, was last updated or revised on 2012-03-23.

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