BOARD CERTIFIED ONCOLOGY GROUP LLC


Address: 1519 Ave Ponce De Leon, Suite 1201, San Juan, PR 00909-1703
Phone: 7879197690

BOARD CERTIFIED ONCOLOGY GROUP LLC (NPI# 1346659935) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1346659935
Entity Type Organization
Organization Name BOARD CERTIFIED ONCOLOGY GROUP LLC
Practice Address 1519 Ave Ponce De Leon
Suite 1201
San Juan
PR 00909-1703
Mailing Address 1519 Ave Ponce De Leon
First Federal Building
San Juan
PR 00910
Practice Telephone 7879197690
Practice Fax Number 7879197694
Mailing Telephone 7879197690
Mailing Fax Number 7879197694
Enumeration Date 2014-08-07
Last Update Date 2014-08-07
Authorized Official Name DR. MARIA PEREZ (PRESIDENT)
Authorized Official Telephone 7879197690
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RH0003X Internal Medicine
Specialization: Hematology & Oncology
Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
PR REGISTRO 340105 01

Office Location

Street Address 1519 AVE PONCE DE LEON
SUITE 1201
City SAN JUAN
State PR
Zip Code 00909-1703

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NPI Name Taxonomy Address Enumeration
1689646408 Harold Nelson Stoddard Latorre Specialist 1519 Ave Ponce De Leon, Suite 1105, San Juan, PUERTO RICO 00910 2006-02-06
1841684701 A.l.u. Solidaridad Preferred Provider Organization 1519 Ave Ponce De Leon, First Federal Saving Building Suite 1201, San Juan, PR 00909-1703 2015-03-27
1265860795 Premiun Health Care Associates Preferred Provider Organization 1519 Ave Ponce De Leon, Suite 1201, San Juan, PR 00910-0000 2013-10-18
1972843209 Care Transition Program Bm, Corp Exclusive Provider Organization 1519 Ave Ponce De Leon, Suite 1219, San Juan, PR 00909-1703 2013-02-23
1255403895 Jose Eduardo Fossas Dentist 1519 Ave Ponce De Leon, Suite 303, San Juan, PR 00909-1732 2006-11-15
1154418556 Laboratorio Clinico Aned, Inc Clinical Medical Laboratory 1519 Ave Ponce De Leon, Oficina 403 Pda. 23, San Juan, PR 00909-1732 2006-10-06

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1508467713 Stephanie Maldonado Specialist Condominio Asia, 1503 Calle Prof. Augusto Rodriguez, Suite 600, San Juan, PR 00909 2020-11-04
1588262893 The Auffant Recruitment Group, Inc Nursing Care 312 Jose De Diego Avenue, Suite 601, San Juan, PR 00909 2020-10-09
1538766118 Jose Gilberto Agosto Pharmacy Technician 1507 Calle Augusto Rodriguez, San Juan, PR 00909 2020-10-06
1629682125 Grupo Med Hospitalist First Federal Building Suite 302, 1519 Ave Ponce De Leon, San Juan, PR 00909 2020-09-02
1053934992 Abigail Hernandez Registered Nurse 1503 Calle Prof. Augusto Rodriguez Condominio Asia, Suit 600, San Juan, PR 00909 2020-05-27
1477186062 We Bones Durable Medical Equipment & Medical Supplies Ponce De Leon 1612 1er Piso Oficinai/2, San Juan, PR 00909 2020-02-21
1790335602 Hamid Corp Pharmacy 615 Ave. Manuel Pavia, San Juan, PR 00909 2019-09-13
1629625850 Ian Javier Vazquez Dietitian, Registered 1456 Calle Prof. Augusto Rodriguez, San Juan, PR 00909 2019-08-22
1083277966 Gerald Manuel Garcia Rivera Registered Nurse 1503 Calle Prof. Augusto Rodriguez, Cond. Asia, Suite 600, San Juan, PR 00909 2019-04-17
1659839264 Carla Ortiz Naturopath 1511 Avenida Juan Ponce De Leon, San Juan, PR 00909 2019-03-04
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Taxonomy Information

Taxonomy Code 207RH0003X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Hematology & Oncology

Taxonomy Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: http://www.osteopathic.org/certification

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1083183388 Prometheus Medical Group Psc Internal Medicine Torre Del Metropolitano 1789 Carr 21, Suite 301, San Juan, PR 00921 2018-11-15
1659828473 Jose Carlos Lopez-puebla Internal Medicine Upr School of Medicine Medical Science Campus, Guillermo Arbona Building, San Juan, PR 00936-5067 2016-09-09
1821458704 Sick Blood Med Serv Csp Internal Medicine 369 Calle De Diego Ste 603-604, San Juan, PR 00923-3003 2016-03-04
1194126896 Metropolitan Oncology Center Psc Internal Medicine 1427 Ave Manuel Fernandez Juncos, Suite 101, San Juan, PR 00910-0000 2014-09-12
1912308610 Cancer Center of The Caribbean Internal Medicine 1427 Ave. Manuel Fernandez Juncos, Suite 101, San Juan, PR 00910-0000 2014-09-12
1750780466 Cancer Center of The Caribbean, LLC Internal Medicine 420 Ponce De Leon Edif Midtown, Suite 805, San Juan, PR 00919-0000 2014-08-19
1174937445 Dr. Luis Flores Caban (hematologo Oncologo) Csp Internal Medicine Ave Ponce De Leon # 371, San Juan, PR 00918-1000 2014-06-16
1851656441 Jose Efrain Abreu Arbelo Internal Medicine University Distristrict Hospital, Puerto Rico Medical Center Bo. Monacillos, San Juan, PR 00935-0001 2012-07-10
1255531505 Francisco J. Muniz Internal Medicine 20 Calle Washington, Condo. Caribe 3a, San Juan, PR 00907-1531 2007-07-24
1154525566 Wandaly Ibon Pardo-ruiz Internal Medicine Carr 21 Edif 1783, Con Villa Magna, Apt 1602, San Juan, PR 00921 2007-06-12
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Competitor

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City SAN JUAN
Zip Code 00909

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Dataset Information

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.

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