Organization
DERMATOLOGY AND MOHS SURGERY ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERTO LUIS DAVILA - DE PEDRO M.D. (DERMATOLOGIST AND MOHS SURGEON)
(787) 764-6611
Entity
Organization
Contact information
Practice address
525 FD ROOSEVELT AVENUE SUITE 712, SAN JUAN, PR 00918
(787) 764-6611
(787) 957-3110
Mailing address
PO BOX 191259, 525 FD ROOSEVELT AVENUE SUITE 712, SAN JUAN, PR 00919
(787) 764-6611
(787) 957-3110
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
207ND0101X
MOHS-Micrographic Surgery Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
27404
MEDICAL CARD SYSTEM
PR
Enumeration date
06/24/2019
Last updated
04/13/2022
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up