Organization Active NPI

Skin Care Specialists Inc

  • Dermatology Physician
  • Ponce, PR
National Provider Identifier
1447563960
Registry record updated Jul 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
14868 Issued in PR
Legal business name
SKIN CARE SPECIALISTS INC
Practice address
909 Ave Tito Castro
Ste 804
Ponce, PR 00716-4725
Phone
(787) 648-8115
Fax
(787) 651-1498
NPI assigned
Jul 26, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2010

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

Authorized official

Name
Dr. Valenie Rivera, MD
Title
President
Phone
(787) 648-8115

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X 14868 PR Primary

Addresses

Primary practice location

909 Ave Tito Castro
Ste 804
Ponce, PR 00716-4725

Mailing address

909 Ave Tito Castro
Ste 804
Ponce, PR 00716-4725
Phone (787) 648-8115

Other identifiers 1

IdentifierTypeStateIssuer
195701OtherPRDEPARTAMENTO DE ESTADO

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1280102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280102400000",
    "number": "1447563960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 AVE TITO CASTRO",
            "address_2": "STE 804",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007164725",
            "telephone_number": "787-648-8115",
            "fax_number": "787-651-1498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 AVE TITO CASTRO",
            "address_2": "STE 804",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007164725",
            "telephone_number": "787-648-8115",
            "fax_number": "787-651-1498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKIN CARE SPECIALISTS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-26",
        "last_updated": "2010-07-26",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "VALENIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-648-8115",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "PR",
            "license": "14868",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTAMENTO DE ESTADO",
            "identifier": "195701",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2010; 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.