SICK BLOOD MED SERV CSP (NPI# 1821458704) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821458704 |
| Entity Type | Organization |
| Organization Name | SICK BLOOD MED SERV CSP |
| Practice Address |
369 Calle De Diego Ste 603-604 San Juan PR 00923-3003 |
| Practice Telephone | 7877536022 |
| Practice Fax Number | 7877536066 |
| Mailing Telephone | 7877536022 |
| Mailing Fax Number | 7877536066 |
| Enumeration Date | 2016-03-04 |
| Last Update Date | 2020-01-26 |
| Authorized Official Name | DR. PEDRO G SOLIVAN ORTIZ (PRESIDENT) |
| Authorized Official Telephone | 7877717933 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
17625 | PR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PR | LIC | 17625 | 01 |
| Street Address |
369 CALLE DE DIEGO STE 603-604 |
| City | SAN JUAN |
| State | PR |
| Zip Code | 00923-3003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750997862 | Lazo Social, LLC | Clinic/Center | 419 Jose De Diego Street, Suite 9, San Juan, PR 00923 | 2020-09-23 |
| 1023624442 | Growing Up Therapy and Research Center | Occupational Therapy Assistant | 322 Calle Badajoz, Valencia Suites A-1, San Juan, PR 00923 | 2020-09-21 |
| 1417574351 | A R Med Transport | Non-emergency Medical Transport (VAN) | Calle Barranquitas 516 Reparto America, Reparto America, Sj, PR 00923 | 2020-06-26 |
| 1285255653 | Jorge Luis Reyes-mendoza | Registered Nurse | Lopez Sicardo Ave. Bldg. B18 Apt. 208, Res. Manuel A. Perez, San Juan, PR 00923 | 2020-04-27 |
| 1497389290 | Ileana Burgos | Psychologist | Calle De Diego Cond. De Duego Chalets 474, San Juan, PR 00923 | 2020-03-02 |
| 1295390292 | Nathalie E Alvarez | Speech-Language Pathologist | Calle Santa Rosa, Urb Altamesa, San Juan, PR 00923 | 2019-05-06 |
| 1457821431 | Jonathan Guzman Cruz | Pharmacist | Montehiedra, Los Romeros Ave. Rio Piedras, San Juan, PR 00923 | 2018-12-03 |
| 1508352667 | Anthony Francisco Rivera Betancourt Sr. | Non-emergency Medical Transport (VAN) | Calle Barranquitas, 516 Reparto America, San Juan, PR 00923 | 2018-07-02 |
| 1811482029 | Enid M. Gonzalez | Dietitian, Registered | Calle De Diego 369 Torre San Francisco, Suite 507, San Juan, PR 00923 | 2018-06-29 |
| 1407347909 | Hildabelis Martinez-diaz | Pathology | 771 Calle Teodoro Aguilar, Urb. Los Maestros, San Juan, PR 00923 | 2018-05-21 |
| Find all providers in zip 00923 | ||||
| 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 |
| 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 |
| 1023210200 | Noridza Rivera-rodriguez | Internal Medicine | Hospital Universitario Adultos, Seccion Hematologia-oncologia Sotano, San Juan, PR 00935 | 2007-06-01 |
| 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.