Healthcare Provider Details
I. General information
NPI: 1851223606
Provider Name (Legal Business Name): MIAMI SKIN CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/03/2026
Last Update Date: 06/03/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
299 ALHAMBRA CIR STE 211
CORAL GABLES FL
33134-5116
US
IV. Provider business mailing address
299 ALHAMBRA CIR STE 211
CORAL GABLES FL
33134-5116
US
V. Phone/Fax
- Phone: 305-615-5504
- Fax: 305-906-8212
- Phone: 305-615-5504
- Fax: 305-906-8212
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207N00000X |
| Taxonomy | Dermatology Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207ND0101X |
| Taxonomy | MOHS-Micrographic Surgery Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
CAROLINA
PUYANA
Title or Position: MD/PRACTICE OWNER
Credential: MD
Phone: 305-615-5504