Individual provider Active NPI

Erika T Watts Oquendo, MD

  • Dermatology Physician
  • Caguas, PR
National Provider Identifier
1043615677
Registry record updated Jul 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
21759 Issued in PR
Practice address
C8 Ave. Gautier Benitez
Cosolidated Mall
Caguas, PR 00726
Phone
(787) 772-9850
NPI assigned
Oct 24, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 21759 PR
Student in an Organized Health Care Education/Training Program 390200000X
Dermatology Physician 207N00000X 21759 PR Primary

Addresses

Primary practice location

C8 Ave. Gautier Benitez
Cosolidated Mall
Caguas, PR 00726

Mailing address

1302 Ave Ashford Apt 2102
San Juan, PR 00907-1368
Phone (787) 455-7822

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210917002740 PR Practitioner - Dermatology 5991102931 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Puerto Rico School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

300 Felisa Rincon de Gautier PR
199 Suite 1
San Juan, PR 00926-0001
Phone (787) 936-2066

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
21759PRMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dermwatts Dermatology CurrentSince Aug 14, 2021 Accepting new patients

Locations

300 Ave Dona Felisa Rincon de
Ste 1
San Juan, PR 00926
Phone (787) 365-2102

Interoperability endpoints

  • Direct secure messaging: erika.watts.p1@direct.vitacare.nextgenshare.com
  • Direct secure messaging: erika.wattsoquendo@2621.securemail.prognocis.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1414108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627430400000",
    "number": "1043615677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1302 AVE ASHFORD APT 2102",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009071368",
            "telephone_number": "787-455-7822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "C8 AVE. GAUTIER BENITEZ",
            "address_2": "COSOLIDATED MALL",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00726",
            "telephone_number": "787-772-9850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATTS OQUENDO",
        "first_name": "ERIKA",
        "middle_name": "T",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-24",
        "last_updated": "2021-07-28",
        "certification_date": "2021-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "21759",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "PR",
            "license": "21759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

Verify at the official NPI Registry.