Healthcare Provider Details
I. General information
NPI: 1922939859
Provider Name (Legal Business Name): AP DERMATOLOGY LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/28/2026
Last Update Date: 05/28/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
600 AVE JESUS T PINERO PARQUE DE LOYOLA 504 TORRE NORTE
SAN JUAN PR
00918-4061
US
IV. Provider business mailing address
600 AVE JESUS T PINERO PARQUE DE LOYOLA 504 TORRE NORTE
SAN JUAN PR
00918-4061
US
V. Phone/Fax
- Phone: 787-245-7626
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261Q00000X |
| Taxonomy | Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
ANDREA
PAOLA
CARO MUNIZ
Title or Position: PHYSICIAN
Credential: MD
Phone: 787-245-7626