Organization Active NPI

Derm Solutions LLC

  • Medical Specialty Clinic/Center
  • Caguas, PR
National Provider Identifier
1780096511
Registry record updated Apr 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
18053 Issued in PR
Legal business name
DERM SOLUTIONS LLC
Practice address
Jose Garrido Ave Suite 209
Catalinas Cinema Building
Caguas, PR 00725
Phone
(787) 626-3431
NPI assigned
May 28, 2014
Last updated
Apr 10, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2015

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

Authorized official

Name
Rachelle E. Seijo-Montes, MD
Title
President
Phone
(787) 626-3431

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 18053 PR Primary

Addresses

Primary practice location

Jose Garrido Ave Suite 209
Catalinas Cinema Building
Caguas, PR 00725

Mailing address

PO Box 364171
San Juan, PR 00936-4171
Phone (787) 626-3431

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140813001587 PR Part B Supplier - Clinic/Group Practice 3678790730 Receives reassigned benefits from 1 practitioner
Practice locations: Guaynabo, PR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1401235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428624000000",
    "number": "1780096511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 364171",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009364171",
            "telephone_number": "787-626-3431",
            "fax_number": "787-626-5163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "JOSE GARRIDO AVE SUITE 209",
            "address_2": "CATALINAS CINEMA BUILDING",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00725",
            "telephone_number": "787-626-3431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERM SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-28",
        "last_updated": "2015-04-10",
        "status": "A",
        "authorized_official_last_name": "SEIJO-MONTES",
        "authorized_official_first_name": "RACHELLE",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-626-3431",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "PR",
            "license": "18053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2015; 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.