Active NPI
JB Dermatology LLC
- Dermatology Physician
- Caguas, PR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- Legal business name
- JB DERMATOLOGY LLC
- Practice address
- 200 Grand Blvd Los Prados # Z-5
Caguas, PR 00727-9507 - Phone
- (787) 746-3136
- NPI assigned
- Jun 30, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Julian O Barrera Llaurador, MD
- Title
- Owner
- Phone
- (787) 957-5540
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | Primary |
Addresses
Primary practice location
200 Grand Blvd Los Prados # Z-5
Caguas, PR 00727-9507
Mailing address
PO Box 6775
Caguas, PR 00726-6775
Other practice location 1
286 Ave Domenech
San Juan, PR 00918-3506
Phone (787) 314-4443
Other practice location 2
295 Palmas Inn Way # C120
Humacao, PR 00791-6181
Phone (787) 718-7144
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
295 Palmas Inn Way
#C120
Humacao, PR 00791
Phone (787) 718-7144
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dermatology Physician
- Caguas, PR
- NPI 1922466325
Multi-Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1625011200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1662508800000",
"number": "1003486036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6775",
"city": "CAGUAS",
"state": "PR",
"postal_code": "007266775"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 GRAND BLVD LOS PRADOS # Z-5",
"city": "CAGUAS",
"state": "PR",
"postal_code": "007279507",
"telephone_number": "787-746-3136"
}
],
"practiceLocations": [
{
"address_1": "286 Ave Domenech",
"address_purpose": "LOCATION",
"city": "San Juan",
"state": "PR",
"postal_code": "009183506",
"country_code": "US",
"telephone_number": "787-314-4443",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "295 Palmas Inn Way # C120",
"address_purpose": "LOCATION",
"city": "Humacao",
"state": "PR",
"postal_code": "007916181",
"country_code": "US",
"telephone_number": "787-718-7144",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "JB DERMATOLOGY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-06-30",
"last_updated": "2022-09-07",
"certification_date": "2022-09-07",
"status": "A",
"authorized_official_last_name": "BARRERA LLAURADOR",
"authorized_official_first_name": "JULIAN",
"authorized_official_middle_name": "O",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "787-957-5540",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dermatology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Caguas, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.