Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dermatology and Mohs Surgery Associates LLC

Organization Dermatology Physician · NPI 1124689831

Dermatology and Mohs Surgery Associates LLC is a Dermatology Physician in San Juan, Puerto Rico. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address may be wrong

The ZIP code does not match the city and state on this record. Call before visiting.

525 Fd Roosevelt Ave Ste 712
San Juan, PR 00918
Phone: (787) 764-6611
Fax: (787) 957-3110

No coordinates on file. Search this address in Google Maps

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X
MOHS-Micrographic Surgery Physician Taxonomy 207ND0101X

Record details

NPI number1124689831
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Roberto Davila - De Pedro — Dermatologist And Mohs Surgeon · (787) 764-6611
NPI enumeratedJune 24, 2019
Last updated in NPPESApril 13, 2022
Certification dateApril 13, 2022
Mailing addressPo Box 191259, 525 Fd Roosevelt Avenue Suite 712, San Juan, PR 00919

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