Organization
PUERTO RICO SKIN & LASER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS NOELANI E GONZALEZ MD, (OWNER)
(787) 473-0073
Entity
Organization
Contact information
Practice address
525 AVE FD ROOSEVELT STE 409, SAN JUAN, PR 00918-8081
(787) 473-0073
Mailing address
120 AVE CARLOS CHARDON STE 133, SAN JUAN, PR 00918-1721
(787) 473-0073
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1187256-0010
REGISTRO DE COMERCIANTE
PR
01
—
446563
CERTIFICATE OF ORGANIZATION
PR
Enumeration date
08/19/2021
Last updated
06/26/2023
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