Organization Active NPI

Recinto de Ciencias Medicas

Doing business as Recinto de Ciencias Medicas-Dermatologia

  • Dermatology Physician
  • San Juan, PR
National Provider Identifier
1295760676
Registry record updated Oct 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
RECINTO DE CIENCIAS MEDICAS
Doing business as
Recinto de Ciencias Medicas-Dermatologia
Practice address
Centro Medico de PR Edif Principal
Escuela de Medicina Apto. 29134
San Juan, PR 00936-0134
Phone
(787) 758-2525
Fax
(787) 274-8154
NPI assigned
Jul 12, 2006
Last updated
Oct 22, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2010

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

Authorized official

Name
Mrs. Myriam Troche, RHIA
Title
Credentialing Coordinator
Phone
(787) 758-2525

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207N00000X Primary
Dermatopathology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207ND0900X
Procedural Dermatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207NS0135X

Addresses

Primary practice location

Centro Medico de PR Edif Principal
Escuela de Medicina Apto. 29134
San Juan, PR 00936-0134

Mailing address

PO Box 29134
San Juan, PR 00929-0134
Phone (787) 758-2525

Other identifiers 1

IdentifierTypeStateIssuer
13OtherPRPPMI GROUP

Other names 1

  • Recinto de Ciencias Medicas-Dermatologia Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040729001073 PR Part B Supplier - Clinic/Group Practice 3678469962 Receives reassigned benefits from 14 practitioners
Practice locations: Rio Piedras, PR

National Provider Directory

National Provider Directory
Tax ID family
Recinto de Ciencias Medicas139 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Practitioners & affiliated clinicians

Practitioners 25

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.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287705600000",
    "number": "1295760676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 29134",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009290134",
            "telephone_number": "787-758-2525",
            "fax_number": "787-274-8154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CENTRO MEDICO DE PR EDIF PRINCIPAL",
            "address_2": "ESCUELA DE MEDICINA APTO. 29134",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009360134",
            "telephone_number": "787-758-2525",
            "fax_number": "787-274-8154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RECINTO DE CIENCIAS MEDICAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-12",
        "last_updated": "2010-10-22",
        "status": "A",
        "authorized_official_last_name": "TROCHE",
        "authorized_official_first_name": "MYRIAM",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "787-758-2525",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RHIA"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, Dermatopathology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, Procedural Dermatology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PPMI GROUP",
            "identifier": "13",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Recinto de Ciencias Medicas-Dermatologia",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 22, 2010; 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.