| Dermatology Science and Aesthetics PSC | |
|
Carr 891 Km 13 Pueblo Plaza Del Carmen Suite 308 Corozal PR 00783-0009 | |
| (787) 365-0315 | |
| (787) 802-2626 |
| Full Name | Dermatology Science and Aesthetics PSC |
|---|---|
| Speciality | Clinic/Center |
| Location | Carr 891 Km 13 Pueblo, Corozal, Puerto Rico |
| Authorized Official Name and Position | Amarylis Rosado (PRESIDENT) |
| Authorized Official Contact | 7873650315 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dermatology Science and Aesthetics PSC 387 Via Versalles Villas Reales Guaynabo PR 00969-5341 Ph: (787) 365-0315 | Dermatology Science and Aesthetics PSC Carr 891 Km 13 Pueblo Plaza Del Carmen Suite 308 Corozal PR 00783-0009 Ph: (787) 365-0315 |
| NPI Number | 1922477421 |
|---|---|
| Provider Enumeration Date | 09/15/2015 |
| Last Update Date | 09/15/2015 |
| Medicare PECOS PAC ID | 4385942028 |
|---|---|
| Medicare Enrollment ID | O20160414000244 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922477421 | NPI | - | NPPES |
| 15519 | Other | PR | STATE LISCENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 15519 (Puerto Rico) | Primary |
| Provider Name | Amarylis Rosado Rodriguez |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1780896662 PECOS PAC ID: 4789752759 Enrollment ID: I20081003000199 |
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