# DERMATOLOGY SCIENCE AND AESTHETICS PSC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1922477421
- **Authorized official:** DR. AMARYLIS ROSADO MD (PRESIDENT)
- **Authorized official phone:** (787) 365-0315

## Contact information

- **Practice address:** CARR 891 KM 13 PUEBLO, PLAZA DEL CARMEN SUITE 308, COROZAL, PR 00783-0009
- **Practice address phone:** (787) 365-0315
- **Practice address fax:** (787) 802-2626
- **Mailing address:** 387 VIA VERSALLES, VILLAS REALES, GUAYNABO, PR 00969-5341
- **Mailing address phone:** (787) 365-0315
- **Mailing address fax:** (787) 802-2626

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 15519 | PR | Yes |

## Other

- **Enumeration date:** 09/15/2015
- **Last updated:** 09/15/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 15519 | STATE LISCENSE | PR |