Active NPI
Hilda Justiniano MD, P.S.C.
- Procedural Dermatology Physician
- Mayaguez, PR
National Provider Identifier
1821330705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Procedural Dermatology Physician
- License
- 15662
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Hildamari Justiniano Garcia
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Procedural Dermatology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HR031A | Other | PR | PROVIDER TRANSACCTION AUTHORIZATION NUMBER - (PTAN) |
Other names 1
- Hilda Justiniano Garcia MD
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- MOHS-Micrographic Surgery Physician
- Mayaguez, PR
- NPI 1083818009
Procedural Dermatology
-
- Dermatology Physician
- Aguadilla, PR
- NPI 1073907242
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.