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Organization
DERMATOLOGY SCIENCE AND AESTHETICS PSC
Active
Organization
DERMATOLOGY SCIENCE AND AESTHETICS PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMARYLIS ROSADO MD (PRESIDENT)
(787) 365-0315
Entity
Organization
Contact information
Practice address
CARR 891 KM 13 PUEBLO, PLAZA DEL CARMEN SUITE 308, COROZAL, PR 00783-0009
(787) 365-0315
(787) 802-2626
Mailing address
387 VIA VERSALLES, VILLAS REALES, GUAYNABO, PR 00969-5341
(787) 365-0315
(787) 802-2626
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
15519
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15519
STATE LISCENSE
PR
Enumeration date
09/15/2015
Last updated
09/15/2015
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