MB DERMATOLOGY, PSC (NPI# 1386903573) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386903573 |
| Entity Type | Organization |
| Organization Name | MB DERMATOLOGY, PSC |
| Practice Address |
Centro Internacional De Mercadeo, Tower 1, Suite 304 Road 165 Pr-28 Guaynabo PR 00968 |
| Mailing Address |
Pmb 705, 89 De Diego Ave. Suite 105 San Juan PR 00927-6320 |
| Practice Telephone | 7877058887 |
| Practice Fax Number | 7877058886 |
| Mailing Telephone | 7877058887 |
| Mailing Fax Number | 7877058886 |
| Enumeration Date | 2012-05-09 |
| Last Update Date | 2012-05-09 |
| Authorized Official Name | DR. MAYRA C BEAUCHAMP (DERMATOLOGIST/OWNER) |
| Authorized Official Telephone | 7876301369 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 17621 | PR | Allopathic & Osteopathic Physicians |
| Street Address |
CENTRO INTERNACIONAL DE MERCADEO, TOWER 1, SUITE 304 ROAD 165 PR-28 |
| City | GUAYNABO |
| State | PR |
| Zip Code | 00968 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144820820 | Stat Mobile Diagnostic Imaging Group LLC | Physiological Laboratory | Metro Park 7, Street # 1, Suite 305, Guaynabo, PR 00968 | 2020-10-30 |
| 1881291300 | Smart Assistance Services Inc. | Non-emergency Medical Transport (VAN) | Calle 1, Metro Office Park 8, Suite 306, Guaynabo, PR 00968 | 2020-10-07 |
| 1245845064 | Felix Guerra | Pharmacist | 1 Ave Roosevelt, Guaynabo, PR 00968 | 2020-09-09 |
| 1144852138 | Sebastian Quinones | Clinic/Center | Urb Caparra Hills, E-6 Calle Eucalipto, Guaynabo, PR 00968 | 2020-02-07 |
| 1427691146 | Janice Gonzalez-sanchez | Psychologist | San Patricio Office Center, Calle Tabonuco 7 Suite 104, Guaynabo, PR 00968 | 2019-10-25 |
| 1548802853 | Freddie Boria Sr. | Ambulance | 100 Carr. 165 Centro Internacional De Mercadeo, Suite 409, Guaynabo, PR 00968 | 2019-10-09 |
| 1689238404 | Clinica Terapeutica Mon Quiromasaje, Psc | Massage Therapist | City View Plaza 48 Pr 165, Torre I Suite P 100, Guaynabo, PR 00968 | 2019-04-26 |
| 1831673573 | United Three Brothers Inc. | Pharmacy | 1498 Avenida Roosevelt Local 19a, Plaza Caparra Shopping Center, Guaynabo, PR 00968 | 2018-09-19 |
| 1649762378 | Citywide Group, Inc. | Ambulance | 100 Carr 165 Centro Internacional De Mercadeo, Suite 409, Guaynabo, PUERTO RICO 00968 | 2018-05-30 |
| 1063919124 | Centro De Reconstruccion Oral E Implantes | Clinic/Center | Calle 1 Esq 6 Urb Parkside Cond San Patricio II, Suite 1, Guaynabo, PR 00968 | 2018-04-06 |
| Find all providers in zip 00968 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164601159 | Maria Milan | Dermatology | D5 Calle Ebano Apt 902, Guaynabo, PR 00968-3428 | 2007-10-26 |
| 1033277892 | Rocio C Mandry-pagan | Dermatology | 107 Gonzalez Giusti Ave., Caparra Gallery, Suite 309, Guaynabo, PR 00966 | 2006-12-05 |
| 1306834098 | Ricardo Javier Rodriguez-perales | Dermatology | Road 165 Num 48 City View Plaza, Suite 321, Guaynabo, PR 00969 | 2005-10-07 |
| 1417951955 | Hector Ignacio Maldonado | Dermatology | Ave. Apolo Esq. Alejandrino, (altos Fcia. Luis), Guaynabo, PR 00969 | 2005-06-13 |
| 1619490448 | Dvc Dermatology Psc | Dermatology | 1353 Ave Luis Vigoreaux, Pmb 672, Guaynabo, PR 00966 | 2017-07-24 |
| 1518010479 | Caparra Dermatology Center | Dermatology | 107 Gonzalez Giusti Ave., Caparra Gallery, Suite 309, Guaynabo, PR 00966 | 2007-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225575434 | Medical Specialists Services P.s.c. | Dermatology | 2225 Ponce Byp Ste 802, Ponce, PR 00717-1379 | 2017-01-25 |
| 1164871463 | Arc Dermatology Inc. | Dermatology | 6777 Marginal Ave Isla Verde, Isla Verde Mall Suite 213, Carolina, PR 00979 | 2016-06-07 |
| 1003261280 | Rocio Marie Cardona Munoz | Dermatology | Pq26 Ave El Comandante Ste 301, Carolina, PR 00982-2778 | 2016-04-26 |
| 1073907242 | Leyre Ainara Falto Aizpurua | Dermatology | 2661 Ave Hostos, Mayaguez, PR 00682 | 2015-03-25 |
| 1285049635 | Alfredo Julian Bou Prieto | Dermatology | J15 Ave Betances, Bayamon, PR 00959-5108 | 2014-06-24 |
| 1962842518 | Julia Schwartz | Dermatology | 75 Fairways Village Dr Apt 4, Dorado, PR 00646 | 2013-06-27 |
| 1760821565 | Mariana Cruz Manzano | Dermatology | Plaza Los Prados Suite Z-5, 200 Grand Boulevard Los Prados, Caguas, PR 00727-0001 | 2013-06-14 |
| 1194069336 | Diana Carolina Valentin Colon | Dermatology | Edificio De Decanato De Estudiantes, Oficina 502, Dermatologia, Recinto De Ciencias Medicas, Centro Medic, San Juan, PR 00936 | 2012-11-10 |
| 1598019853 | Dermasalud, P.s.c. | Dermatology | Ext. Villa Rica J-16, Calle 2 Suite 101, Edificio Medico Hermanas Davila, Bayamon, PR 00959 | 2012-11-07 |
| 1467710277 | Carla Nicole Cruz-diaz | Dermatology | Carr 190, Km 1.8, Bo Sabana Abajo, Carolina, PR 00983 | 2012-04-30 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.