BAYAMON ONCOLOGY MEDICAL CSP (NPI# 1043603889) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043603889 |
| Entity Type | Organization |
| Organization Name | BAYAMON ONCOLOGY MEDICAL CSP |
| Practice Address |
66 Calle Santa Cruz Inst. San Pablo Suite 509 Bayamon PR 00961-7041 |
| Mailing Address |
Po Box 6310 Bayamon PR 00960-5310 |
| Practice Telephone | 7872694740 |
| Practice Fax Number | 7872694670 |
| Mailing Telephone | 7872694740 |
| Mailing Fax Number | 7872694670 |
| Enumeration Date | 2015-03-17 |
| Last Update Date | 2015-03-17 |
| Authorized Official Name | KENEL FERNANDEZ (PRESIDENT) |
| Authorized Official Telephone | 7872694740 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QX0200X |
Clinic/Center Specialization: Oncology |
7336 | PR | Ambulatory Health Care Facilities |
| Street Address |
66 CALLE SANTA CRUZ INST. SAN PABLO SUITE 509 |
| City | BAYAMON |
| State | PR |
| Zip Code | 00961-7041 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669474813 | Charles J Fequiere I | Specialist | 66 Calle Santa Cruz, Ste 506, Bayamon, PR 00961-7050 | 2005-06-01 |
| 1659803815 | Caribbean Facial Plastic Surgery Center, Psc | Otolaryngology | 66 Calle Santa Cruz, Instituto San Pablo Suite 407, Bayamon, PR 00961 | 2017-03-28 |
| 1558742957 | Rafael Berrios Marcano Ginecologo, P.s.c | Specialist | 66 Calle Santa Cruz, Instituto San Pablo Oficina 510, Bayamon, PR 00961-7041 | 2015-06-11 |
| 1467880146 | Gastrovem, LLC | Clinic/Center | 66 Calle Santa Cruz, Suite 201-b, Bayamon, PR 00961-7041 | 2013-10-16 |
| 1619236171 | Nefrology & Medical Services Psc | Clinic/Center | 66 Calle Santa Cruz, Suite 503 Instituto San Pablo, Bayamon, PR 00961-7041 | 2012-05-03 |
| 1952683815 | Mld Pain Management Inc. | Physical Medicine & Rehabilitation | 66 Calle Santa Cruz, Instituto San Pablo Suite #407, Bayamon, PR 00961-7041 | 2011-09-15 |
| 1528388683 | Perpar Psc | Clinic/Center | 66 Calle Santa Cruz, Instituto San Pablo # 304, Bayamon, PR 00961-7041 | 2010-06-10 |
| 1316184161 | Vasco Eguia Moreda | Internal Medicine | 66 Calle Santa Cruz, Suite 201-b, Bayamon, PR 00961-7041 | 2009-01-15 |
| 1083863344 | Roger Polish P.s.c. | Clinic/Center | 66 Calle Santa Cruz, Instituto San Pablo, Suite 502, Bayamon, PR 00961-7041 | 2008-09-11 |
| 1235393547 | Lillian Milagros Diaz | Speech-Language Pathologist | 66 Calle Santa Cruz, Instituto San Pablo Ste. 407, Bayamon, PR 00961-7041 | 2008-07-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154929206 | Raul Alexis Ocasio Gonzalez | Physician Assistant | Urb, Santa Cruz, B7 Calle Santa Cruz, Bayamon, PR 00961 | 2020-10-12 |
| 1073128047 | Bianca Paola Vega | Psychologist | 73 Sabra Cruz Street Suit 405, Bayamon, PR 00961 | 2020-09-15 |
| 1457960940 | Lymari Barnecet | Physician Assistant | Calle Isabel II Suite 107, Edificio Joaquin Montesino, Bayamon, PR 00961 | 2020-07-30 |
| 1104443027 | Sheila Grisel Alicea | Psychologist | Condominio Alborada Apt 1132, Bayamon, PR 00961 | 2020-06-26 |
| 1407471477 | Noemi Burgos | Psychologist | Calle 2 Km 11.8 Edificio Centurion Piso 3, Bayamon, PR 00961 | 2020-06-15 |
| 1740802362 | Carlos Alexis Sepulveda | Social Worker | C-17 Calle Marginal, Santa Cruz, Bayamon, PR 00961 | 2020-05-18 |
| 1245859669 | Angelisse Julianna Rivera Gonzalez | Pharmacist | Ave. Munoz Rivera #425-ng, San Juan, PR 00961 | 2020-04-15 |
| 1003445750 | Miranda Kay Berger Nordelo | Student in an Organized Health Care Education/Training Program | 58-3 Calle 50, Urb Sierra Bayamon, Bayamon, PR 00961 | 2020-04-05 |
| 1215562558 | Gabriela Isabel Oquendo-claudio | Student in an Organized Health Care Education/Training Program | Urb Rio Hondo 1 Rio Caguitas M14, Bayamon, PR 00961 | 2020-03-06 |
| 1265063754 | Iris Angelica Gonzalez Rosa | Psychologist | Ave. West Main, #26, Blq. 48 #22, Sierra Bayamon, Bayamon, PR 00961 | 2020-02-03 |
| Find all providers in zip 00961 | ||||
| Taxonomy Code | 261QX0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Oncology |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment and prescriptive services related to cancerous conditions. Services include chemotherapy infusions and monitoring of implanted chemotherapeutic agents. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629248604 | Doctors Center Hematology & Oncology Group Bayamon Psc | Clinic/Center | Km 12 3 Carr 2, Suite 2701, Urb Hermanas Davila, Bayamon, PR 00959 | 2008-03-06 |
| 1619176880 | Kenel Fernandez Barbosa | Clinic/Center | Instituto San Pablo Ste 509, 66 Calle Santa Cruz, Bayamon, PR 00961-7041 | 2007-07-17 |
| 1093985871 | Doctors Center Hematology & Oncology Group Bayamon Psc | Clinic/Center | Km 12 3 Carr 2, Suite 2701 Urb Hermanas Davila, Bayamon, PR 00959 | 2008-03-07 |
| 1356529457 | Oncology Institute of Puerto Rico Psc | Clinic/Center | Bayamon Medical Plaza, Suite 904, Bayamon, PR 00959 | 2008-01-31 |
| 1689895435 | P R Hematology Oncology Group Inc | Clinic/Center | 100 Paseo San Pablo, Arturo Cadilla Suite 511, Bayamon, PR 00961-7019 | 2007-05-01 |
| 1083793970 | Centro De Hematologia Y Oncologia Medica | Clinic/Center | Torre San Pablo 503, #68 Santa Cruz, Bayamon, PR 00959 | 2006-11-03 |
| 1831182666 | P R Hematology Oncology Group Inc | Clinic/Center | Paseo San Pablo 100 Edif Arturo Cadilla, Suite 511, Bayamon, PR 00961 | 2005-08-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447629100 | Nohse | Clinic/Center | 1-23 Ave Principal, Urb Baralt Suite 1, Fajardo, PR 00738 | 2015-09-23 |
| 1063804680 | Centro Oncologico De Cayey L.L.C. | Clinic/Center | Hc 73 Box 6440, Cayey, PR 00736-9529 | 2015-02-19 |
| 1174954481 | Centro Oncologico De La Mujer De Puerto Rico Csp | Clinic/Center | 1378 Calle Salud, Ponce, PR 00717-2004 | 2013-12-12 |
| 1548691579 | Recinto De Ciencias Medicas | Clinic/Center | Avenida Americo Miranda Centro Comercial, Reparto Metropolitano, Rio Piedras, PR 00929-0134 | 2013-12-02 |
| 1528492113 | Hematology & Oncology Medical Service PCs | Clinic/Center | Carr 14interior K 03 Barrio Rincon Sector Lomas, 308, Cayey, PR 00737-2800 | 2013-08-30 |
| 1821436312 | Servicios De Hematologia Y Oncologia Del Este, C.s.p. | Clinic/Center | Ave General Valero 410 Torre Medica San Pablo, Suite205, Fajardo, PR 00738 | 2013-06-06 |
| 1669815254 | Trust Medical and Oncology Center Psc | Clinic/Center | 4pn4 Via Josefina, Villa Fontana, Carolina, PR 00983-4828 | 2013-04-12 |
| 1578843652 | Centro Hematologico Y Oncologico Primavera P.s.c. | Clinic/Center | 172 Street Km 1.0, Centro De Salud Familiar Cidra, Cidra, PR 00739-3030 | 2011-08-22 |
| 1205122801 | Oncology Health Alliance Gr, P.s.c. | Clinic/Center | Carr. 14 Km 0.3, Hosp. Menonita Cayey - Ofic. Ctro Medico Nuclear, Cayey, PR 00736-0000 | 2011-06-22 |
| 1124323399 | Hematology Oncology Health Services, PC | Clinic/Center | 735 Ave Ponce De Leon Ste 701, San Juan, PR 00917-5029 | 2011-01-20 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on BAYAMON ONCOLOGY MEDICAL CSP.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.