Derma-Care Aesthetic Medical Group Inc

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

DERMA-CARE AESTHETIC MEDICAL GROUP INC

Practice address

1575 Ave Munoz Rivera
PMB 316
Ponce, PR 00717-0211

Phone

(787) 844-2030

Fax

(787) 844-2030

NPI assigned

Apr 23, 2007

Last updated

Oct 14, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ashley J Garcia Jorge, M.D.NPI 1417963802

Title

Owner

Phone

(787) 844-2030

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ashley Jesus Garcia-Jorge, MD

  • General Practice Physician
  • Ponce, PR
  • NPI 1417963802
  NPD (past) Authorized official

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318550400000",
    "number": "1184842536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1575 AVE MUNOZ RIVERA",
            "address_2": "PMB 316",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007170211",
            "telephone_number": "787-844-2030",
            "fax_number": "787-844-2030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1575 AVE MUNOZ RIVERA",
            "address_2": "PMB 316",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007170211",
            "telephone_number": "787-844-2030",
            "fax_number": "787-844-2030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMA-CARE AESTHETIC MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2011-10-14",
        "status": "A",
        "authorized_official_last_name": "GARCIA JORGE",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-844-2030",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dental Designers PSC
• Departamento de Salud Oficial
• Department of Veteran Affairs
• Department of Veterans Affairs
• Derick E. Colon Lopez (Ponce Rehab)
• Deseares Clinica Psicologica LLC
• Amanda Cristina Detres Marquez
• Anna Maria Di Marco, M.D.
• Diabetic Center & Hospital Supply Inc
• Diabetic Solutions Corp

• General Practice Physician in Ponce, PR
• Providers in Ponce, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.