NPI 1124689831

Dermatology and Mohs Surgery Associates LLC

Organisation Dermatology Physician San Juan, PR

Practice location

Address: 525 Fd Roosevelt Avenue Suite 712, San Juan, PR 00918
Phone: (787) 764-6611
Fax: (787) 957-3110
Mailing address: PO Box 191259 525 Fd Roosevelt Avenue Suite 712, San Juan, PR 00919

Authorised official

Name: Roberto Luis Davila - de Pedro
Title: Dermatologist and Mohs Surgeon
Phone: (787) 764-6611

Registered specialties (2)

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X

Other Dermatology providers in Puerto Rico →

MOHS-Micrographic Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 207ND0101X

Registry record

NPI: 1124689831
Entity type: Organization
NPI issued: 24 Jun 2019
Record last updated: 13 Apr 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.