BELLAVISTA DERMATOLOGY
NPI 1801379409
Dermatology in Jacksonville, FL

Active since September 10, 2018
3636 UNIVERSITY BLVD S, UNIT B2, JACKSONVILLE, FL 32216(904) 297-1415 Get Directions Write a Review

NPPES record last updated: September 10, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bellavista Dermatology NPPES

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

BELLAVISTA DERMATOLOGY (NPI 1801379409) is a healthcare organization registered as a dermatology in Jacksonville, Florida and active in the NPI registry since September 2018. The organization lists Rigel Martinez, Owner, as its authorized official.

NPPES Registry Identity

NPI1801379409
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameBELLAVISTA DERMATOLOGY GROUP LLC
Location Address3636 UNIVERSITY BLVD S, UNIT B2Jacksonville, FL 32216
Mailing Address3636 University Blvd S, Unit B2Jacksonville, FL 32216 · (904) 297-1415
Organization SubpartNo
Authorized OfficialRigel MartinezOwner · (904) 297-1415
Enumeration DateSeptember 10, 2018
NPI 1801379409 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

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
Also ListedDermatology · DermatopathologyTaxonomy 207ND0900X
Also ListedDermatology · Pediatric DermatologyTaxonomy 207NP0225X
Also ListedDermatology · Procedural DermatologyTaxonomy 207NS0135X
3636 UNIVERSITY BLVD S, Jacksonville, FL 32216

Other Names 1

Doing Business AsBellavista Dermatology

Group Practice 2

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

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Ophthalmology
3636 UNIVERSITY BLVD S, SUITE A-2
JACKSONVILLE, FL 32216
Podiatrist
3636 UNIVERSITY BLVD S, BLDG C
JACKSONVILLE, FL 32216
Podiatrist
3636 UNIVERSITY BLVD S, BLDG C
JACKSONVILLE, FL 32216
Allergy & Immunology (Clinical & Laboratory Immunology)
3636 UNIVERSITY BLVD S, SUITE B-2
JACKSONVILLE, FL 32216
Surgery
3636 UNIVERSITY BLVD S, BLDG B
JACKSONVILLE, FL 32216
Podiatrist
3636 UNIVERSITY BLVD S, BLDG C
JACKSONVILLE, FL 32216
Surgery
3636 UNIVERSITY BLVD S, BLDG B
JACKSONVILLE, FL 32216
Surgery
3636 UNIVERSITY BLVD S, BLDG C
JACKSONVILLE, FL 32216

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 Bellavista Dermatology Group LLC's NPI number?

The NPI number for Bellavista Dermatology Group LLC is 1801379409. It was assigned to this organization in the NPPES registry on September 10, 2018. The provider is doing business as Bellavista Dermatology.

Where is Bellavista Dermatology Group LLC located?

Bellavista Dermatology Group LLC is located at 3636 University Blvd S Unit B2, Jacksonville, FL 32216. The listed phone number is (904) 297-1415.

What is Bellavista Dermatology Group LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Bellavista Dermatology Group LLC was last updated on September 10, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.