Dermatologia Borinquen LLC

Primary specialty

Dermatopathology PhysicianTaxonomy code 207ND0900X

Legal business name

DERMATOLOGIA BORINQUEN LLC

Practice address

201 Avenida Gautier Benitez
Consolidated Medical Plaza (Office 307a)
Caguas, PR 00725

Phone

(939) 355-0304

Fax

(939) 355-0306

NPI assigned

Feb 8, 2023

Organization subpart

No

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

Authorized official

Name

Tania Marie Gonzalez Santiago, MDNPI 1952539223

Title

Medical Director

Phone

(939) 355-0304

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Practitioners 2

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

• Tania Marie Gonzalez Santiago, MD

  • Dermatopathology Physician
  • Caguas, PR
  • NPI 1952539223

  Dermatology

  Medicare reassignment NPD Authorized official
• Jesus Cruz Rodriguez

  • Community Health Worker
  • Caguas, PR
  • NPI 1073211330
  NPD

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

{
    "created_epoch": "1675814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778716800000",
    "number": "1326745571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6106",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007266106",
            "telephone_number": "939-355-0304",
            "fax_number": "939-355-0306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 AVENIDA GAUTIER BENITEZ",
            "address_2": "CONSOLIDATED MEDICAL PLAZA (OFFICE 307A)",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00725",
            "telephone_number": "939-355-0304",
            "fax_number": "939-355-0306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMATOLOGIA BORINQUEN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-08",
        "last_updated": "2026-05-14",
        "certification_date": "2026-05-14",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ SANTIAGO",
        "authorized_official_first_name": "TANIA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "939-355-0304",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, Dermatopathology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Departamento de Salud de Puerto Rico
• Departamento de Salud Oficial
• Gary M Deresh, D.P.M.
• Derm Solutions LLC
• Dermacentral, CSP
• Dermwatts
• Desarrollando Destrezas
• Marcos Devarie, M.D.
• Patricia Giselle Devarie
• Nancy Carolina Devesa Mendez, MD

• Dermatopathology Physician in Caguas, PR
• Providers in Caguas, PR by specialty
• Dermatopathology Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2026; 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.