Dermatology Science and Aesthetics PSC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

15519 Issued in PR

Legal business name

DERMATOLOGY SCIENCE AND AESTHETICS PSC

Practice address

Carr 891 KM 13 Pueblo
Plaza del Carmen Suite 308
Corozal, PR 00783-0009

Phone

(787) 365-0315

Fax

(787) 802-2626

NPI assigned

Sep 15, 2015

Last updated

Sep 15, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Amarylis Rosado, MD

Title

President

Phone

(787) 365-0315

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Amarylis Rosado Rodriguez, MD

  • Dermatology Physician
  • Corozal, PR
  • NPI 1780896662
  Medicare reassignment

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

{
    "created_epoch": "1442275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442275200000",
    "number": "1922477421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "387 VIA VERSALLES",
            "address_2": "VILLAS REALES",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009695341",
            "telephone_number": "787-365-0315",
            "fax_number": "787-802-2626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 891 KM 13 PUEBLO",
            "address_2": "PLAZA DEL CARMEN SUITE 308",
            "city": "COROZAL",
            "state": "PR",
            "postal_code": "007830009",
            "telephone_number": "787-365-0315",
            "fax_number": "787-802-2626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMATOLOGY SCIENCE AND AESTHETICS PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-15",
        "last_updated": "2015-09-15",
        "status": "A",
        "authorized_official_last_name": "ROSADO",
        "authorized_official_first_name": "AMARYLIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-365-0315",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "PR",
            "license": "15519",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LISCENSE",
            "identifier": "15519",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yousef J Cruz-Inigo, M.D.
• Carlos Andres Cruz-Perez
• Luis I Davila Gonzalez, MD
• Mario Rafael Davila, M.D.
• Hecmarilys De Hoyos, PTA
• Eileen Diaz Ortiz, BSN, RN
• Fernando Diaz Rosado
• Enrique Diaz, D.M.D.
• Dr Amarylis Rosado and Associates Inc
• Equipos Medicos de la Montana, Inc.

• Clinic/Center in Corozal, PR
• Providers in Corozal, PR by specialty
• Clinic/Center in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.