Organization Active NPI

Hilda Justiniano MD, P.S.C.

  • Procedural Dermatology Physician
  • Mayaguez, PR
National Provider Identifier
1821330705
Registry record updated Apr 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Procedural Dermatology PhysicianTaxonomy code 207NS0135X
License
15662 Issued in PR
Legal business name
HILDA JUSTINIANO MD, P.S.C.
Practice address
PR-2 KM 150.2
Barrio Algarrobo
Mayaguez, PR 00682
Phone
(787) 806-2222
Fax
(800) 317-9835
NPI assigned
Mar 19, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2015

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

Authorized official

Name
Dr. Hildamari Justiniano GarciaNPI 1083818009
Title
President
Phone
(787) 644-7700

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)CodeLicenseStatePrimary
Procedural Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207NS0135X 15662 PR Primary

Addresses

Primary practice location

PR-2 KM 150.2
Barrio Algarrobo
Mayaguez, PR 00682

Mailing address

PO Box 3047
Mayaguez, PR 00681-3047
Phone (787) 806-2222

Other identifiers 1

IdentifierTypeStateIssuer
HR031AOtherPRPROVIDER TRANSACCTION AUTHORIZATION NUMBER - (PTAN)

Other names 1

  • Hilda Justiniano Garcia MD Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140116000116 PR Part B Supplier - Clinic/Group Practice 8921236142 Receives reassigned benefits from 1 practitioner
Practice locations: Mayaguez, 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.

NPI Registry JSON

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

{
    "created_epoch": "1363651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429142400000",
    "number": "1821330705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3047",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006813047",
            "telephone_number": "787-806-2222",
            "fax_number": "800-317-9835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PR-2 KM 150.2",
            "address_2": "BARRIO ALGARROBO",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "00682",
            "telephone_number": "787-806-2222",
            "fax_number": "800-317-9835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILDA JUSTINIANO MD, P.S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-19",
        "last_updated": "2015-04-16",
        "status": "A",
        "authorized_official_last_name": "JUSTINIANO GARCIA",
        "authorized_official_first_name": "HILDAMARI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-644-7700",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "PR",
            "license": "15662",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER TRANSACCTION AUTHORIZATION NUMBER - (PTAN)",
            "identifier": "HR031A",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hilda Justiniano Garcia MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mayaguez, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 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.