Caparra Dermatology Center

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

10769 Issued in PR

Legal business name

CAPARRA DERMATOLOGY CENTER

Practice address

107 Gonzalez Giusti Ave.
Caparra Gallery, Suite 309
Guaynabo, PR 00966

Phone

(787) 781-8999

NPI assigned

Jan 22, 2007

Last updated

Aug 22, 2020By 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

Rocio C. Mandry, M.D.

Title

President

Phone

(787) 781-8999

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Rocio C Mandry-Pagan, M.D.

  • Dermatology Physician
  • Guaynabo, PR
  • NPI 1033277892
  NPD (past)

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1518010479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 360867",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009360867",
            "telephone_number": "787-781-8999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 GONZALEZ GIUSTI AVE.",
            "address_2": "CAPARRA GALLERY, SUITE 309",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "00966",
            "telephone_number": "787-781-8999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPARRA DERMATOLOGY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MANDRY",
        "authorized_official_first_name": "ROCIO",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-781-8999",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "PR",
            "license": "10769",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE-S",
            "identifier": "8-5045",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Luis Eduardo Candelario-Santiago
• Richard Canizares, DMD
• Pablo Antonio Cantero, MD
• Delza O Canto Ruiz, TS
• Sheena Dianne Cantres Perez
• Cynthia Capella-Capella, PHARMD
• David Enrique Capo-Ramos, M.D.
• Valeria F Caraballo Couret, M.S ., SLP
• Gerardo R Caraballo Fernandez, 00783P
• Edwin Caraballo Martinez, 1805P

• Dermatology Physician in Guaynabo, PR
• Providers in Guaynabo, 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 Aug 22, 2020; 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.