JC Medical Derm LLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

JC MEDICAL DERM LLC

Practice address

725 Ave West Main Ste 1100a
Bayamon, PR 00961-4638

Phone

(787) 780-4300

NPI assigned

May 7, 2026

Organization subpart

No

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

Authorized official

Name

Jose M Cuesta CamunasNPI 1134683873

Title

President

Phone

(787) 780-4300

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.

• Jose Manuel Cuesta Camunas, MD

  • Dermatology Physician
  • Bayamon, PR
  • NPI 1134683873
  NPD Authorized official
• Alfonso Cuesta, DMD

  • General Practice Dentistry
  • Bayamon, PR
  • NPI 1407966948
  NPD (past)

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

{
    "created_epoch": "1778112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788480000000",
    "number": "1366379992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 AVE WEST MAIN STE 40",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009614635",
            "telephone_number": "787-973-6840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 AVE WEST MAIN STE 1100A",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009614638",
            "telephone_number": "787-780-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JC MEDICAL DERM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-07",
        "last_updated": "2026-09-04",
        "certification_date": "2026-09-04",
        "status": "A",
        "authorized_official_last_name": "CUESTA CAMUNAS",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-780-4300"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dermatology Physician in Bayamon, PR
• Providers in Bayamon, PR by specialty
• Dermatology Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2026; 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.