Individual provider Active NPI

Hildamari Justiniano Garcia, MD

  • MOHS-Micrographic Surgery Physician
  • Mayaguez, PR
National Provider Identifier
1083818009
Registry record updated Feb 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
15662 Issued in PR
Practice address
PR -2 KM. 150.2
Barrio Algarrobos
Mayaguez, PR 00682
Phone
(787) 806-2222
NPI assigned
Jun 13, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 29, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 15662 PR
Procedural Dermatology Physician 207NS0135X 15662 PR
MOHS-Micrographic Surgery Physician 207ND0101X 15662 PR Primary

Addresses

Primary practice location

PR -2 KM. 150.2
Barrio Algarrobos
Mayaguez, PR 00682

Mailing address

PO Box 3047
Marina Station
Mayaguez, PR 00681-3047
Phone (787) 806-2222

Other names 1

  • Hilda Justiniano Other name

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
I20090924000740 PR Practitioner - DermatologyPractitioner - Micrographic Dermatologic Surgery (MDS) 0143376640 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
DermatologyAlso: Micrographic Dermatologic Surgery (MDS)
Education
University of Puerto Rico School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

PR-2 KM
2 Barrio Algarrobo
Mayaguez, PR 00682
Phone (787) 806-2222

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision102
Removal of skin lesions159
Removal of skin cancer709
Removal or shaving of skin growth1-10
Skin biopsy165

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15662PRMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hilda Justiniano MD, P.S.C. Procedural Dermatology CurrentSince Nov 18, 2013 Accepting new patients
Hilda Justiniano, Inc. Past Accepting new patients

Organizations & group practices 2

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": "1181692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709164800000",
    "number": "1083818009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3047",
            "address_2": "MARINA STATION",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006813047",
            "telephone_number": "787-806-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PR -2 KM. 150.2",
            "address_2": "BARRIO ALGARROBOS",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "00682",
            "telephone_number": "787-806-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUSTINIANO GARCIA",
        "first_name": "HILDAMARI",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-13",
        "last_updated": "2024-02-29",
        "certification_date": "2024-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "PR",
            "license": "15662",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "PR",
            "license": "15662",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "PR",
            "license": "15662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HILDA",
            "last_name": "JUSTINIANO",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mayaguez, PR

Sources for this page

Verify at the official NPI Registry.