Rose Dermatology

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

ROSE DERMATOLOGY

Practice address

10630 Braun Rd Ste 106
San Antonio, TX 78254-2734

Phone

(210) 838-2909

Fax

(210) 905-0121

NPI assigned

Aug 12, 2024

Organization subpart

No

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

Authorized official

Name

Mary Ramirez, MDNPI 1841686987

Title

Authorized Official / Owner

Phone

(210) 838-2909

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 2

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

• Mary Ramirez, MD

  • Dermatology Physician
  • San Antonio, TX
  • NPI 1841686987
  Medicare reassignment Care Compare group NPD Authorized official
• Sara Kerstetter, PA-C

  • Physician Assistant
  • San Antonio, TX
  • NPI 1396568606
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1723420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723420800000",
    "number": "1508697442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10630 BRAUN RD STE 106",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782542734",
            "telephone_number": "210-838-2909",
            "fax_number": "210-905-0121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10630 BRAUN RD STE 106",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782542734",
            "telephone_number": "210-838-2909",
            "fax_number": "210-905-0121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSE DERMATOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-12",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A",
        "authorized_official_last_name": "RAMIREZ",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL / OWNER",
        "authorized_official_telephone_number": "210-838-2909",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Priscilla Rosas, LPC, LCDC
• Rachel Ann Rosas, BSN, RN
• Samuel Rosas, LCDC
• Lovely M Rosckowff, RN
• Rose Counseling, PLLC
• Rose Gold Counseling, PLLC
• Rose Medical Group, P.a.
• Deidre Ann Rose-Alder, PMHNP
• Annetra Rose-Jackson
• Daniel Armen Rose

• Dermatology Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Dermatology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; 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.