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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PR | REGISTRO | 340105 | 01 |
Street Address |
1519 AVE PONCE DE LEON SUITE 1201 |
City | SAN JUAN |
State | PR |
Zip Code | 00909-1703 |
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 |
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 |
Find all providers in zip 00909 |
Taxonomy Code | 207RH0003X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Hematology & Oncology |
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 |
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 |
Find all providers in SAN JUAN |
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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.