Active NPI
Dermgroup LLC
- MOHS-Micrographic Surgery Physician
- San Juan, PR
National Provider Identifier
1790337582
On this page
Key facts
NPPES NPI Registry- Primary specialty
- MOHS-Micrographic Surgery Physician
- Legal business name
- DERMGROUP LLC
- Practice address
- 525 Ave Roosevelt la Torre de Plaza Ste 801
San Juan, PR 00918 - Phone
- (787) 281-0784
- NPI assigned
- Jul 11, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Omar Torres Lozada, MD
- Title
- Presidente
- Phone
- (787) 281-0784
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| MOHS-Micrographic Surgery Physician | 207ND0101X | Primary |
Addresses
Primary practice location
525 Ave Roosevelt la Torre de Plaza Ste 801
San Juan, PR 00918
Mailing address
525 Ave Rooselvelt la Torre de Plaza
Ste 801
San Juan, PR 00918
Phone (787) 281-0784
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
525 Ave Fd Roosevelt
Ofc 801
San Juan, PR 00918
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dermatology Physician
- San Juan, PR
- NPI 1790845402
-
- Gastroenterology Physician
- Ponce, PR
- NPI 1467448191
-
- Clinical Psychologist
- Juana Diaz, PR
- NPI 1689078594
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562803200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1765929600000",
"number": "1790337582",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "525 AVE ROOSELVELT LA TORRE DE PLAZA",
"address_2": "STE 801",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00918",
"telephone_number": "787-281-0784"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "525 AVE ROOSEVELT LA TORRE DE PLAZA STE 801",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00918",
"telephone_number": "787-281-0784"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DERMGROUP LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-07-11",
"last_updated": "2025-12-17",
"certification_date": "2025-12-17",
"status": "A",
"authorized_official_last_name": "TORRES LOZADA",
"authorized_official_first_name": "OMAR",
"authorized_official_title_or_position": "PRESIDENTE",
"authorized_official_telephone_number": "787-281-0784",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207ND0101X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dermatology, MOHS-Micrographic Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2025; 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.