Active NPI
Erika T Watts Oquendo, MD
- Dermatology Physician
- Caguas, PR
National Provider Identifier
1043615677
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 21759
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21759 | PR | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dermwatts | Dermatology | Current | Accepting new patients |
Locations
300 Ave Dona Felisa Rincon de
Ste 1
San Juan, PR 00926
Phone (787) 365-2102
Interoperability endpoints
- erika.watts.p1@direct.vitacare.nextgenshare.com
- 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.
-
- Dermatology Physician
- Caguas, PR
- NPI 1275206872
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.