Am Skin Surgery PSC

Primary specialty

Procedural Dermatology PhysicianTaxonomy code 207NS0135X

License

16921 Issued in PR

Legal business name

AM SKIN SURGERY PSC

Practice address

735 Ave Ponce de Leon Torre Medica Auxilio Mutuo
Suite 802
San Juan, PR 00917

Phone

(787) 914-7935

NPI assigned

Oct 18, 2016

Last updated

Jan 24, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Adisbeth Morales Burgos, MDNPI 1447458765

Title

President

Phone

(787) 914-7935

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Adisbeth Morales Burgos, M.D.

  • Procedural Dermatology Physician
  • Hato Rey, PR
  • NPI 1447458765
  NPD (past) Authorized official

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

{
    "created_epoch": "1476748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485216000000",
    "number": "1487105284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "184 DORADO BEACH EAST",
            "city": "DORADO",
            "state": "PR",
            "postal_code": "00646",
            "telephone_number": "787-914-7935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 AVE PONCE DE LEON TORRE MEDICA AUXILIO MUTUO",
            "address_2": "SUITE 802",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00917",
            "telephone_number": "787-914-7935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AM SKIN SURGERY PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-18",
        "last_updated": "2017-01-24",
        "status": "A",
        "authorized_official_last_name": "MORALES BURGOS",
        "authorized_official_first_name": "ADISBETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-914-7935",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "PR",
            "license": "16921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adriana Sofia Amador, MD

• Procedural Dermatology Physician in San Juan, PR
• Providers in San Juan, PR by specialty
• Procedural Dermatology Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2017; 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.