Active NPI
Doris N Molina, M.D.
- Dermatology Physician
- San Juan, PR
National Provider Identifier
1346395647
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 11742
- Practice address
- 369 Calle de Diego
Suite 602
San Juan, PR 00923-3003 - Phone
- (787) 752-1075
- NPI assigned
- Jan 24, 2007
- Last updated
- Jul 8, 2007
- 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 | 11742 | PR | Primary |
Addresses
Primary practice location
369 Calle de Diego
Suite 602
San Juan, PR 00923-3003
Mailing address
89 Ave de Diego
Suite 105 PMB-407
San Juan, PR 00927-6372
Phone (787) 754-5091
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130412000186 | PR | Practitioner - Dermatology | 7911143185 | Practice locations: San Juan, PR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11742 | PR | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1346395647",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "89 AVE DE DIEGO",
"address_2": "SUITE 105 PMB-407",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009276372",
"telephone_number": "787-754-5091",
"fax_number": "787-753-1783"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "369 CALLE DE DIEGO",
"address_2": "SUITE 602",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009233003",
"telephone_number": "787-752-1075"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOLINA",
"first_name": "DORIS",
"middle_name": "N",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "PR",
"license": "11742",
"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 Jul 8, 2007; 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.