Active NPI
Norma Ursa Alonso, M.D.
- Dermatology Physician
- San Juan, PR
National Provider Identifier
1235136466
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 12164
- 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
- Jul 1, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 12164 | PR | Primary |
Addresses
Primary practice location
Ave. Ponce de Leon 735
Torre Auxilio Mutuo Suite 519
San Juan, PR 00917
Mailing address
Ave. Ponce de Leon 735
Torre Auxilio Mutuo Suite 519
San Juan, PR 00917
Phone (787) 759-5122
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12164 | PR | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Derma Medical Professional Corporation | Current | Accepting new patients |
Locations
735 Ave Ponce de Leon
Ste 519
San Juan, PR 00917
Phone (787) 759-5122
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.
-
- Specialist
- San Juan, PR
- NPI 1215121827
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1366156800000",
"number": "1235136466",
"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": {
"last_name": "ALONSO",
"first_name": "NORMA",
"middle_name": "URSA",
"name_prefix": "Mrs.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-07-01",
"last_updated": "2013-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "PR",
"license": "12164",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2013; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.