Individual provider Active NPI

Damaris Torres Paoli, M.D.

  • Dermatology Physician
  • Rio Piedras, PR
National Provider Identifier
1922101260
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
11749 Issued in PR
Practice address
Calle 21 U3 #5
Las Lomas
Rio Piedras, PR 00921
Phone
(787) 775-2545
Fax
(787) 793-0835
NPI assigned
Sep 5, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 11749 PR Primary

Addresses

Primary practice location

Calle 21 U3 #5
Las Lomas
Rio Piedras, PR 00921

Mailing address

PO Box 194000
Pmb409
San Juan, PR 00919-4000
Phone (787) 775-2545

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
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 1

Enrollment IDStateProvider typePAC IDDetails
I20120824000079 PR Practitioner - Dermatology 2961659040 Reassigns benefits to 1 organization
Practice locations: San Juan, PR

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Puerto Rico School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Carr Num 21 Bloque
5 Las Lomas Rio Piedras
San Juan, PR 00921-3313
Phone (787) 775-2545

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions359
Removal of nail tissue1-10
Skin biopsy92

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11749PRMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jerrdam Medical, CSP CurrentSince Jul 1, 2014 Accepting new patients

Locations

U3-5 Carr 21
San Juan, PR 00921

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1157414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1922101260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 194000",
            "address_2": "PMB409",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009194000",
            "telephone_number": "787-775-2545",
            "fax_number": "787-793-0835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE 21 U3 #5",
            "address_2": "LAS LOMAS",
            "city": "RIO PIEDRAS",
            "state": "PR",
            "postal_code": "00921",
            "telephone_number": "787-775-2545",
            "fax_number": "787-793-0835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TORRES PAOLI",
        "first_name": "DAMARIS",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "PR",
            "license": "11749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Piedras, PR

Sources for this page

Verify at the official NPI Registry.