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NATALIA MARIE PELET DEL TORO
NPI 1659835304
Dermatology in San Juan, PR

Active since January 28, 2019PECOS EnrolledAccepts Medicare Assignment
240 VIOLETA, URB SAN FRANCISCO, SAN JUAN, PR 00927(787) 282-7182 Get Directions Write a Review

NPPES record last updated: August 29, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 29, 2023, Jan 28, 2019 (2 updates tracked since 2019).

About Natalia Marie Pelet Del Toro NPPES

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

NATALIA MARIE PELET DEL TORO (NPI 1659835304) is an individual dermatology provider in San Juan, Puerto Rico, licensed in Puerto Rico (023220) and active in the NPI registry since January 2019. She is enrolled in Medicare PECOS and is a graduate of University Of Puerto Rico School Of Medicine (2021).

NPPES Registry Identity

NPI1659835304
Entity TypeIndividualFemale
Primary Taxonomy207N00000X
Provider Legal NameNATALIA MARIE PELET DEL TORO
Location Address240 VIOLETA, URB SAN FRANCISCOSan Juan, PR 00927
Mailing AddressPmb 213, 1353 Ave. Luis VigoreauxGuaynabo, PR 00966 · (787) 751-0887
Phone(787) 282-7182
Sole ProprietorYes
Medical School CMSUniversity Of Puerto Rico School Of MedicineGraduated 2021
Enumeration DateJanuary 28, 2019
Last NPPES UpdateAugust 29, 20232 updates tracked since enumeration
NPPES CertifiedAugust 29, 2023
✔ NPI 1659835304 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in PR · 023220
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.

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Natalia Marie Pelet Del Toro is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID749759793
PECOS Enrollment IDI20260519002804
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Natalia Pelet Del Toro reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Hospitals Medical Group Inc
Multi-Specialty
11100 EUCLID AVE
Cleveland, OH 44106
  • Reassigned Medicare billing, Ohio enrollment
  • 3,958 clinicians in this Medicare group
NPI 1669499414 (216) 844-1000

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 00927 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.07 typical visit price
range $56.86 – $172.44
Typical copayment $22.01 (range $14.21 – $43.11)
Most-billed visit code 99203
Established Patient
$70.88 typical visit price
range $18.24 – $140.44
Typical copayment $17.72 (range $4.56 – $35.11)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Natalia Pelet Del Toro's NPI number?

The NPI number for Natalia Pelet Del Toro is 1659835304. It was assigned to this individual provider in the NPPES registry on January 28, 2019.

Where is Natalia Pelet Del Toro located?

Natalia Pelet Del Toro practices at 240 Violeta Urb San Francisco, San Juan, PR 00927. The listed phone number is (787) 282-7182.

What is Natalia Pelet Del Toro's specialty?

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

Is Natalia Pelet Del Toro enrolled in Medicare?

Yes. Natalia Pelet Del Toro is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Natalia Pelet Del Toro's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Natalia Pelet Del Toro reassigns Medicare benefits to University Hospitals Medical Group Inc (Cleveland, OH). The 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 Natalia Pelet Del Toro's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Natalia Pelet Del Toro accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list Natalia Pelet Del Toro as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Natalia Pelet Del Toro was last updated on August 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.