Medina Gonzalez Dermatology LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

MEDINA GONZALEZ DERMATOLOGY LLC

Practice address

D80 Calle C
Dorado, PR 00646-2012

Phone

(787) 400-1616

NPI assigned

Jul 7, 2025

Organization subpart

No

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

Authorized official

Name

Dr. Andrea Cristina Medina Gonzalez, MDNPI 1346894664

Title

President

Phone

(787) 464-2544

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Andrea Cristina Medina Gonzalez, MD

  • Dermatology Physician
  • Dorado, PR
  • NPI 1346894664
  NPD Authorized official
• Axel R Delgado, MD

  • Dermatology Physician
  • Dorado, PR
  • NPI 1457850570
  NPD

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

{
    "created_epoch": "1751846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751846400000",
    "number": "1225928641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2765 AVE HOSTOS STE 235",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006826390",
            "telephone_number": "787-464-2544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "D80 CALLE C",
            "city": "DORADO",
            "state": "PR",
            "postal_code": "006462012",
            "telephone_number": "787-400-1616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDINA GONZALEZ DERMATOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-07",
        "last_updated": "2025-07-07",
        "certification_date": "2025-07-07",
        "status": "A",
        "authorized_official_last_name": "MEDINA GONZALEZ",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "CRISTINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-464-2544",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Juan Maysonet-Camacho
• MC Drug LLC
• Paulette M McDevitt Torres, THL
• MD Distributors
• Glorimar Medero
• Andrea Cristina Medina Gonzalez, MD
• Jomar Alexis Medina Ortiz
• Mediserv L.L.C.
• Laura C Mejia, MD
• Jerry Melecio, PHARM AUX

• Clinic/Center in Dorado, PR
• Providers in Dorado, PR by specialty
• Clinic/Center in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2025; 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.