Organization
DERMASPA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LUIS E SANTALIZ RUIZ (PRESIDENT)
(787) 601-1049
Entity
Organization
Contact information
Practice address
J8 AVE SAN PATRICIO APT 27, GUAYNABO, PR 00968-4462
(787) 601-1049
Mailing address
J8 AVE SAN PATRICIO APT 27, GUAYNABO, PR 00968-4462
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
05/17/2024
Last updated
05/17/2024
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