Organization
CAPARRA DERMATOLOGY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROCIO C. MANDRY M.D. (PRESIDENT)
(787) 781-8999
Entity
Organization
Contact information
Practice address
107 GONZALEZ GIUSTI AVE., CAPARRA GALLERY, SUITE 309, GUAYNABO, PR 00966
(787) 781-8999
Mailing address
PO BOX 360867, SAN JUAN, PR 00936-0867
(787) 781-8999
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
10769
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8-5045
TRIPLE-S
PR
Enumeration date
01/22/2007
Last updated
08/22/2020
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