RG Dermatology

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

19553 Issued in PR

Legal business name

RG DERMATOLOGY

Practice address

68 Calle Santa Cruz Ste 305 Torre San Pablo
Bayamon, PR 00961-7036

Phone

(787) 798-1200

NPI assigned

Jun 20, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Rosbel Gonzalez-Rivera, MDNPI 1003124728

Title

Dermatologist/President

Phone

(787) 415-9520

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

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.

• Rosbel Gonzalez Rivera, MD

  • Dermatology Physician
  • Bayamon, PR
  • NPI 1003124728
  Medicare reassignment NPD Authorized official
• Luis J Ortiz-Espinosa, M.D., FAAD

  • Dermatology Physician
  • Carolina, PR
  • NPI 1053390732
  NPD (past)

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

{
    "created_epoch": "1497916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723161600000",
    "number": "1801316039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 366842",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009366842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 CALLE SANTA CRUZ STE 305 TORRE SAN PABLO",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009617036",
            "telephone_number": "787-798-1200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "64 Calle Santa Cruz Ste 108",
            "address_purpose": "LOCATION",
            "city": "Bayamon",
            "state": "PR",
            "postal_code": "009617002",
            "country_code": "US",
            "telephone_number": "787-798-1993",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RG DERMATOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-20",
        "last_updated": "2024-08-09",
        "certification_date": "2024-08-02",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ-RIVERA",
        "authorized_official_first_name": "ROSBEL",
        "authorized_official_title_or_position": "DERMATOLOGIST/PRESIDENT",
        "authorized_official_telephone_number": "787-415-9520",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "PR",
            "license": "19553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keishla Marie Reyes
• Mailene Reyes
• Mayra V Reyes, M.D.
• Raul Reyes, PSY
• Ricardo Reyes
• RG Enterprises Inc
• Rheumatology and Wellnesss Clinic LLC
• Jose Luis Riestra, MD
• Rika Dental LLC
• Rinor Corporation

• Dermatology Physician in Bayamon, PR
• Providers in Bayamon, 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 9, 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.