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DERMATOLOGY AND MOHS SURGERY ASSOCIATES LLC
NPI 1124689831
Dermatology in San Juan, PR

Active since June 24, 2019
525 FD ROOSEVELT AVENUE SUITE 712, SAN JUAN, PR 00918(787) 764-6611(787) 957-3110 Get Directions Write a Review

NPPES record last updated: April 13, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 13, 2022, Sep 9, 2019, Aug 16, 2019 and 1 more (4 updates tracked since 2019).

About Dermatology And Mohs Surgery Associates Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DERMATOLOGY AND MOHS SURGERY ASSOCIATES LLC (NPI 1124689831) is a healthcare organization registered as a dermatology in San Juan, Puerto Rico and active in the NPI registry since June 2019. The organization lists Roberto Luis Davila - De Pedro, Dermatologist And Mohs Surgeon, as its authorized official.

NPPES Registry Identity

NPI1124689831
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameDERMATOLOGY AND MOHS SURGERY ASSOCIATES LLC
Location Address525 FD ROOSEVELT AVENUE SUITE 712San Juan, PR 00918
Mailing AddressPo Box 191259, 525 Fd Roosevelt Avenue Suite 712San Juan, PR 00919 · (787) 764-6611 · Fax (787) 957-3110
Phone(787) 764-6611
Fax(787) 957-3110
Organization SubpartNo
Authorized OfficialRoberto Luis Davila - De PedroDermatologist And Mohs Surgeon · (787) 764-6611
Enumeration DateJune 24, 2019
Last NPPES UpdateApril 13, 20224 updates tracked since enumeration
NPPES CertifiedApril 13, 2022
✔ NPI 1124689831 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Definition
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.
Also ListedDermatology · MOHS-Micrographic SurgeryTaxonomy 207ND0101X

Other Identifiers 1

Other27404PR · Medical Card System

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dermatology And Mohs Surgery Associates Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Dermatology And Mohs Surgery Associates LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Roberto Davila-De Pedro, MD
Dermatology
NPI 1538154315
525 AVE ROOSVELET PLAZA LAS AMERICAS TOWER SUITE 712
Hato Rey, PR 00918
(787) 764-6611
✔ PECOS✔ Accepts Medicare

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dermatology And Mohs Surgery Associates LLC's NPI number?

The NPI number for Dermatology And Mohs Surgery Associates LLC is 1124689831. It was assigned to this organization in the NPPES registry on June 24, 2019.

Where is Dermatology And Mohs Surgery Associates LLC located?

Dermatology And Mohs Surgery Associates LLC is located at 525 Fd Roosevelt Avenue Suite 712, San Juan, PR 00918. The listed phone number is (787) 764-6611.

What is Dermatology And Mohs Surgery Associates LLC's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Dermatology And Mohs Surgery Associates LLC enrolled in Medicare?

Yes. Dermatology And Mohs Surgery Associates LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Dermatology And Mohs Surgery Associates LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dermatology) reassigns their Medicare billing to Dermatology And Mohs Surgery Associates LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Dermatology And Mohs Surgery Associates LLC was last updated on April 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.