Healthcare Provider Details

I. General information

NPI: 1487561353
Provider Name (Legal Business Name): BISTURI DE COLOR ROSA PSC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/26/2026
Last Update Date: 08/26/2026
Certification Date: 08/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PLAZA DE TORRIMAR 2 120 AVE LOS FILTROS G105
GUAYNABO PR
00659
US

IV. Provider business mailing address

PLAZA DE TORRIMAR 2 120 AVE LOS FILTROS G105
GUAYNABO PR
00659
US

V. Phone/Fax

Practice location:
  • Phone: 787-548-4838
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2086S0122X
TaxonomyPlastic and Reconstructive Surgery Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code2086X0206X
TaxonomySurgical Oncology Physician
License Number
License Number State

VIII. Authorized Official

Name: LAURA MENA
Title or Position: PRESIDENT
Credential:
Phone: 787-548-4838