Advancedermatology and Skin Cancer Center, PSC

Primary specialty

MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X

License

16842 Issued in PR

Legal business name

ADVANCEDERMATOLOGY AND SKIN CANCER CENTER, PSC

Practice address

150 Ave Jose de Diego San Juan Health Centre
Suite 601
San Juan, PR 00907

Phone

(787) 945-6546

Fax

(787) 945-6571

NPI assigned

Mar 11, 2013

Last updated

Dec 21, 2023By 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

Ms. Sheila M. Valentin, MD, FAAD

Title

President

Phone

(787) 945-6546

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Locations

Practitioners 3

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.

• Sheila M Valentin Nogueras, M.D.

  • MOHS-Micrographic Surgery Physician
  • San Juan, PR
  • NPI 1841490349
  Medicare reassignment
• Elena M Nogales Perez, MD

  • Dermatology Physician
  • Carolina, PR
  • NPI 1003079757
  NPD (past)
• Virginia Rodriguez, M.D.

  • Ophthalmology Physician
  • Carolina, PR
  • NPI 1104907211
  NPD (past)

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

{
    "created_epoch": "1362960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703116800000",
    "number": "1548501950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 CALLE KINGS CT APT 904",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009111167",
            "telephone_number": "787-945-6546",
            "fax_number": "787-945-6571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 AVE JOSE DE DIEGO SAN JUAN HEALTH CENTRE",
            "address_2": "SUITE 601",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00907",
            "telephone_number": "787-945-6546",
            "fax_number": "787-945-6571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCEDERMATOLOGY AND SKIN CANCER CENTER, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-11",
        "last_updated": "2023-12-21",
        "certification_date": "2023-12-20",
        "status": "A",
        "authorized_official_last_name": "VALENTIN",
        "authorized_official_first_name": "SHEILA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-945-6546",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MD, FAAD"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "PR",
            "license": "16842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Advanced Professional OB/GYN, PSC
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• Advanced Radiology Group
• Advanced Surgical Center PSC
• Advanced Technonuclear Imaging Center Inc
• Advancedorthodontics & Dentofacial Orthopedics, Inc.
• Advantage Health Center LLC
• Advantage Medical Group
• Advantage Physician Group, LLC
• Advantage Rehab and Wellness Center LLC

• MOHS-Micrographic Surgery Physician in San Juan, PR
• Providers in San Juan, PR by specialty
• MOHS-Micrographic Surgery Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2023; 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.