Dermatology and Mohs Surgery Associates LLC
NPI 1124689831 · Dermatology Physician · San Juan, PR
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Dermatology and Mohs Surgery Associates LLC is a Dermatology Physician organization in San Juan, PR (NPI 1124689831).
Provider details
- NPI number
- 1124689831
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Roberto Davila - De Pedro, Dermatologist and Mohs Surgeon(787) 764-6611
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- MOHS-Micrographic Surgery Physician207ND0101X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2019-06-24
- Last updated
- 2022-04-13
- Certified
- 2022-04-13
Frequently asked questions
- What is Dermatology and Mohs Surgery Associates LLC's NPI number?
- Dermatology and Mohs Surgery Associates LLC's National Provider Identifier (NPI) is 1124689831, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Dermatology and Mohs Surgery Associates LLC?
- Dermatology and Mohs Surgery Associates LLC is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Dermatology and Mohs Surgery Associates LLC located?
- Dermatology and Mohs Surgery Associates LLC's practice location on file with NPPES is 525 Fd Roosevelt Avenue Suite 712, San Juan, PR 00918.
- What is Dermatology and Mohs Surgery Associates LLC's phone number?
- The practice phone number listed in the NPPES registry for Dermatology and Mohs Surgery Associates LLC is (787) 764-6611.
- Does Dermatology and Mohs Surgery Associates LLC accept Medicare?
- Dermatology and Mohs Surgery Associates LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Dermatology and Mohs Surgery Associates LLC?
- The authorized official listed on Dermatology and Mohs Surgery Associates LLC's NPPES record is Roberto Davila - De Pedro, Dermatologist and Mohs Surgeon. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Dermatology and Mohs Surgery Associates LLC's NPI active?
- Yes — Dermatology and Mohs Surgery Associates LLC's NPI (1124689831) is active in the NPPES registry as of the last update on 2022-04-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.