Derma Medical Professional Corporation

Primary specialty

SpecialistTaxonomy code 174400000X

License

12164 Issued in PR

Legal business name

DERMA MEDICAL PROFESSIONAL CORPORATION

Practice address

Ave Ponce de Leon 735
Torre Auxilio Mutuo Suite 519
San Juan, PR 00917

Phone

(787) 759-5122

Fax

(787) 753-4797

NPI assigned

Aug 28, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Norma Ursa Alonso, M.D.NPI 1235136466

Title

President

Phone

(787) 759-5122

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Norma Ursa Alonso, M.D.

  • Dermatology Physician
  • San Juan, PR
  • NPI 1235136466
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1188259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332460800000",
    "number": "1215121827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "AVE PONCE DE LEON 735",
            "address_2": "TORRE AUXILIO MUTUO SUITE 519",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00917",
            "telephone_number": "787-759-5122",
            "fax_number": "787-753-4797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE PONCE DE LEON 735",
            "address_2": "TORRE AUXILIO MUTUO SUITE 519",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00917",
            "telephone_number": "787-759-5122",
            "fax_number": "787-753-4797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMA MEDICAL PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-28",
        "last_updated": "2012-03-23",
        "status": "A",
        "authorized_official_last_name": "ALONSO",
        "authorized_official_first_name": "NORMA",
        "authorized_official_middle_name": "URSA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-759-5122",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "PR",
            "license": "12164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Department of Veterans Affairs (San Juan VAMC)
• Department of Veterans Affairs
• Depatment of Veterans Affairs
• Depatment of Veterans Affairs
• Derik I. Marrero Amadeo M.D., LLC
• Dermanuelias
• Dermatology and Mohs Surgery Associates LLC
• Dermgroup LLC
• Designer Eyes
• Designer Eyes of San Juan, Inc. (Designer Eyes)

• Specialist in San Juan, PR
• Providers in San Juan, PR by specialty
• Specialist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2012; 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.

Verify at the official NPI Registry.