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RONDEROS AESTHETICS LLC NPI 1376725887


NPI Information

NPI: 1376725887
Provider Name: RONDEROS AESTHETICS, LLC

Other Name: SKIN PERFECTION MED SPA

Classification: Dermatology - 207NS0135X
Entity Type: Organization

Specialization: Procedural Dermatology

Address:
1132 HILLCREST RD
MOBILE, AL
ZIP 36695
Phone: (251) 776-1380
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RONDEROS AESTHETICS, LLC is a procedural dermatology dermatology in Mobile, AL. The provider is procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers). RONDEROS AESTHETICS, LLC NPI is 1376725887. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Skin Perfection Med Spa.

The provider's business location address is:

1132 HILLCREST RD
MOBILE, AL
ZIP 36695-920
Phone: (251) 776-1380
Fax: (251) 776-1381

The provider's authorized official is Jennifer K Ronderos .
The authorized official title is M.d./owner and has the following contact phone number (251) 776-1380.

The enumeration date for this NPI number is 11/27/2007 and was last updated on 11/27/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207NS0135XDermatologyProcedural Dermatology20619ALABAMAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
151544969OTHERALABAMABLUE CROSS BLUE SHIELD AL

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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