Organization
DERMATOLOGIA BORINQUEN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TANIA MARIE GONZALEZ SANTIAGO MD (MEDICAL DIRECTOR)
(939) 355-0304
Entity
Organization
Contact information
Practice address
201 AVENIDA GAUTIER BENITEZ, CONSOLIDATED MEDICAL PLAZA (OFFICE 307A), CAGUAS, PR 00725
(939) 355-0304
(939) 355-0306
Mailing address
PO BOX 6106, CAGUAS, PR 00726-6106
(939) 355-0304
(939) 355-0306
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
—
—
207ND0900X
Dermatopathology Physician
Primary
—
—
Other
Enumeration date
02/08/2023
Last updated
05/14/2026
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