Provider Demographics
NPI:1598019853
Name:DERMASALUD, P.S.C.
Entity Type:Organization
Organization Name:DERMASALUD, P.S.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT, TREASURER
Authorized Official - Prefix:
Authorized Official - First Name:LAYDA
Authorized Official - Middle Name:S
Authorized Official - Last Name:TORRES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-780-7534
Mailing Address - Street 1:EXT. VILLA RICA J-16
Mailing Address - Street 2:CALLE 2 SUITE 101
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00959
Mailing Address - Country:US
Mailing Address - Phone:787-780-7534
Mailing Address - Fax:787-200-4845
Practice Address - Street 1:EXT. VILLA RICA J-16, CALLE 2 SUITE 101
Practice Address - Street 2:EDIFICIO MEDICO HERMANAS DAVILA
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00959
Practice Address - Country:US
Practice Address - Phone:787-780-7534
Practice Address - Fax:787-200-4845
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-07
Last Update Date:2012-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR11.179207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Single Specialty