NCDERM LLC (NPI# 1386199032) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386199032 |
| Entity Type | Organization |
| Organization Name | NCDERM LLC |
| Practice Address |
500 Degetau Avenue Hima Plaza I, Suite 513 Caguas PR 00725 |
| Mailing Address |
1353 Ave Luis Vigoreaux Pmb 322 Guaynabo PR 00966-2715 |
| Practice Telephone | 7876263431 |
| Practice Fax Number | 7876265163 |
| Mailing Telephone | 7876263431 |
| Mailing Fax Number | 7876265163 |
| Enumeration Date | 2016-08-23 |
| Last Update Date | 2016-09-20 |
| Authorized Official Name | NICOLE SOFIA CARVAJAL DIAZ (PRESIDENT) |
| Authorized Official Telephone | 7873606112 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
19082 | PR | Ambulatory Health Care Facilities |
| Street Address |
500 DEGETAU AVENUE HIMA PLAZA I, SUITE 513 |
| City | CAGUAS |
| State | PR |
| Zip Code | 00725 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588264980 | David Edgardo Sanchez-real | Student in an Organized Health Care Education/Training Program | Urb Villa Blanca Cll Jade, Caguas, PR 00725 | 2020-10-27 |
| 1578162368 | Aleidy Mojica | Registered Nurse | Carr 796 Km 7.6 Sect. Bairoa, Bairoa, Caguas, PR 00725 | 2020-10-22 |
| 1912506734 | Nacional Socios, LLC | Eyewear Supplier (Equipment, not the service) | Ave. Rafael Cordero Calle13 M 34, Urb. Condado Moderno, Caguas, PR 00725 | 2020-10-22 |
| 1619583820 | Jose Francisco Rovira IIi | General Practice | Av. Gautier Benitez, Consolidated Mall, Suite C20-a, Caguas, PR 00725 | 2020-09-22 |
| 1467068296 | Alexandra Maria Rincones | Student in an Organized Health Care Education/Training Program | L9 Calle 5 Bonneville Terrace, Caguas, PR 00725 | 2020-09-17 |
| 1316551773 | Luis Alberto Rolon Ortega Sr. | Nurse Anesthetist, Certified Registered | Urb. Turabo Garden 725 Carr. 172, Caguas, PR 00725 | 2020-09-03 |
| 1033729835 | Roberto Jose Torres | Student in an Organized Health Care Education/Training Program | Urb. Turabo Garden Carr. #172, Caguas, PR 00725 | 2020-08-06 |
| 1891305744 | Carolina Huertas Ayala | Student in an Organized Health Care Education/Training Program | Condominio Paseo Degetau, Apt. 2805, Caguas, PR 00725 | 2020-08-05 |
| 1184233306 | Jasseline I Gonzalez | Social Worker | Ave Jose Mercado Esquina Cristobal Colon #121, Caguas, PR 00725 | 2020-07-23 |
| 1932727161 | Nalyan Cardona Vaquez | Nutritionist | Street Aranjuez 641, Urb. La Cima Ciudad Jardin Bairoa, Caguas, PR 00725 | 2020-07-14 |
| Find all providers in zip 00725 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295269900 | Endomed LLC | Clinic/Center | Bs4 Ave Las Americas, Urb Bairoa, Caguas, PR 00917 | 2017-04-19 |
| 1417302464 | Agd Endocrinology LLC | Clinic/Center | Bs4 Avenida Las Americas, Urbanizacion Bairoa, Caguas, PR 00725 | 2016-04-27 |
| 1780096511 | Derm Solutions LLC | Clinic/Center | Jose Garrido Ave Suite 209, Catalinas Cinema Building, Caguas, PR 00725 | 2014-05-28 |
| 1346665023 | Plastic Surgery & Laser Center | Clinic/Center | A18 Ave Degetau, Urb Bonneville Terrace, Caguas, PR 00725-5836 | 2014-03-04 |
| 1235303546 | Le Petit Vision Center | Clinic/Center | Consolidated Mall C22, Caguas, PR 00725 | 2008-04-17 |
| 1447470943 | Iq Optical Inc | Clinic/Center | Pmb 627 Box 4952, Caguas, PR 00726 | 2007-04-26 |
| 1194251512 | Endohealth LLC | Clinic/Center | 4 Bs Ave Las Americas, Urb Bairoa, Caguas, PR 00725 | 2017-05-04 |
| 1912373432 | Gastro Med De Puerto Rico Psc | Clinic/Center | Hima Plaza 1, 500 Ave Degetau Ste 405, Caguas, PR 00725-7301 | 2015-08-19 |
| 1316337256 | Centro Urologico Dr Timoteo Torres LLC | Clinic/Center | Consolidated Medical Plaza, Suite 208, Caguas, PR 00725 | 2015-01-30 |
| 1760896609 | Centro Reumatologico De Caguas | Clinic/Center | M36 Calle 13, Condado Moderno, Caguas, PR 00725-2443 | 2014-06-18 |
| Find all providers in CAGUAS | ||||
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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.