DERMA MEDICAL PROFESSIONAL CORPORATION
NPI 1215121827
Specialist in San Juan, PR

Active since August 28, 2007
AVE PONCE DE LEON 735, TORRE AUXILIO MUTUO SUITE 519, SAN JUAN, PR 00917(787) 759-5122(787) 753-4797 Get Directions Write a Review

NPPES record last updated: March 23, 2012. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Derma Medical Professional Corporation NPPES

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

DERMA MEDICAL PROFESSIONAL CORPORATION (NPI 1215121827) is a healthcare organization registered as a specialist in San Juan, Puerto Rico and active in the NPI registry since August 2007. The organization lists Norma Ursa Alonso, President, as its authorized official.

NPPES Registry Identity

NPI1215121827
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameDERMA MEDICAL PROFESSIONAL CORPORATION
Location AddressAVE PONCE DE LEON 735, TORRE AUXILIO MUTUO SUITE 519San Juan, PR 00917
Mailing AddressAve Ponce De Leon 735, Torre Auxilio Mutuo Suite 519San Juan, PR 00917 · (787) 759-5122 · Fax (787) 753-4797
Fax(787) 753-4797
Organization SubpartNo
Authorized OfficialNorma Ursa AlonsoPresident · (787) 759-5122
Enumeration DateAugust 28, 2007
Last NPPES UpdateMarch 23, 2012
✔ NPI 1215121827 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in PR · 12164
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
AVE PONCE DE LEON 735, San Juan, PR 00917

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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)

Derma Medical Professional Corporation 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 Derma Medical Professional Corporation, which bills Medicare for the services this clinician delivers.

Clinician (1)

Dermatology
NPI 1235136466
AVE. PONCE DE LEON 735 TORRE AUXILIO MUTUO SUITE 519
San Juan, PR 00917
(787) 759-5122
✔ PECOSSame address

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 Derma Medical Professional Corporation's NPI number?

The NPI number for Derma Medical Professional Corporation is 1215121827. It was assigned to this organization in the NPPES registry on August 28, 2007.

Where is Derma Medical Professional Corporation located?

Derma Medical Professional Corporation is located at Ave Ponce De Leon 735 Torre Auxilio Mutuo Suite 519, San Juan, PR 00917. The listed phone number is (787) 759-5122.

What is Derma Medical Professional Corporation's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Derma Medical Professional Corporation enrolled in Medicare?

Yes. Derma Medical Professional Corporation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Derma Medical Professional Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dermatology) reassigns their Medicare billing to Derma Medical Professional Corporation. 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 Derma Medical Professional Corporation was last updated on March 23, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.