Individual provider Active NPI

Deyson Lorenzo-Rios, MD

  • MOHS-Micrographic Surgery Physician
  • Carolina, PR
National Provider Identifier
1861856551
Registry record updated Jun 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
MD223992 Issued in OR
Practice address
10000 Ave 65 Infanteria Ste 303
Carolina, PR 00985-5672
Phone
(787) 752-4304
NPI assigned
Apr 8, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 021312 PR
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 021312 PR
MOHS-Micrographic Surgery Physician 207ND0101X MD223992 OR Primary

Addresses

Primary practice location

10000 Ave 65 Infanteria Ste 303
Carolina, PR 00985-5672

Mailing address

PO Box 365067
San Juan, PR 00936-5067
Phone (787) 758-5500

Other practice location 1

10 Calle Casia
San Juan, PR 00921-3200
Phone (787) 641-7582 ext. 12691

Other practice location 2

425 Munoz Rivera
San Juan, PR 00918-3112
Phone (787) 522-2482

Other practice location 3

1008 Ave Americo Miranda
San Juan, PR 00921-2842
Phone (787) 758-2525 ext. 5500

Other practice location 4

40 Carr 2
Manati, PR 00674-4704
Phone (787) 621-3322

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR, OR2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230911001503 PR Practitioner - Dermatology 9436513496 Practice locations: San Juan, PR
I20250617000527 OR Practitioner - Micrographic Dermatologic Surgery (MDS) 9436513496 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Micrographic Dermatologic Surgery (MDS)
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Professional ServicesGroup PAC ID 4880760107, 1,683 clinicians

Practice addresses (Care Compare)

3303 S Bond Ave
Portland, OR 97239-4501
Phone (503) 494-8311

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
021312PRMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Professional Services CurrentSince Jul 1, 2025 Accepting new patients
Lorenzo Dermatology LLC Single Specialty CurrentSince Sep 5, 2023 Accepting new patients
University Professional Services CurrentSince Jul 1, 2025 Accepting new patients
University Professional Services Single Specialty Current Accepting new patients

Locations

15700 SW Greystone Ct
Beaverton, OR 97006
Phone (503) 203-1000

3303 S Bond Ave
Portland, OR 97239
Phone (503) 494-3151

Interoperability endpoints

  • Direct secure messaging: dlorenzorios195239@direct.ohsu.edu
  • Direct secure messaging: deyson.lorenzorios@2621.securemail.prognocis.com
  • Direct secure messaging: deyson.lorenzorios.p1@direct.vitacare.nextgenshare.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1460073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748822400000",
    "number": "1861856551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 365067",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009365067",
            "telephone_number": "787-758-5500",
            "fax_number": "787-767-0467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10000 AVE 65 INFANTERIA STE 303",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009855672",
            "telephone_number": "787-752-4304"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 Calle Casia",
            "address_purpose": "LOCATION",
            "city": "San Juan",
            "state": "PR",
            "postal_code": "009213200",
            "country_code": "US",
            "telephone_number": "787-641-7582 x12691",
            "fax_number": "787-641-4561",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "425 Munoz Rivera",
            "address_purpose": "LOCATION",
            "city": "San Juan",
            "state": "PR",
            "postal_code": "009183112",
            "country_code": "US",
            "telephone_number": "787-522-2482",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1008 Ave Americo Miranda",
            "address_purpose": "LOCATION",
            "city": "San Juan",
            "state": "PR",
            "postal_code": "009212842",
            "country_code": "US",
            "telephone_number": "787-758-2525 x5500",
            "fax_number": "787-767-0467",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "40 Carr 2",
            "address_purpose": "LOCATION",
            "city": "Manati",
            "state": "PR",
            "postal_code": "006744704",
            "country_code": "US",
            "telephone_number": "787-621-3322",
            "fax_number": "787-884-7604",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LORENZO-RIOS",
        "first_name": "DEYSON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-08",
        "last_updated": "2025-06-02",
        "certification_date": "2025-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "PR",
            "license": "021312",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "021312",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "OR",
            "license": "MD223992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carolina, PR

Sources for this page

Verify at the official NPI Registry.