NPIMap

Organization Active NPI

Centro de Cancer de la Universidad

  • Special Hospital
  • San Juan, PR
National Provider Identifier
1003366527
Registry record updated Feb 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Special HospitalTaxonomy code 284300000X
Legal business name
CENTRO DE CANCER DE LA UNIVERSIDAD
Practice address
PR21 Int PR18
Bo Monacillos
San Juan, PR 00927
Phone
(787) 772-8300
Fax
(787) 758-2557
NPI assigned
Oct 7, 2016
Last updated
Feb 6, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Elba Alicea
Title
Director
Phone
(787) 772-8300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Special Hospital 284300000X PR Primary

Addresses

Primary practice location

PR21 Int PR18
Bo Monacillos
San Juan, PR 00927

Mailing address

PO Box 363027
San Juan, PR 00936-3027
Phone (787) 772-8300

Other names 2

  • Comprehensive Cancer Center Hospital Other name
  • Hospital Centro Comprensivo de Cancer Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190313000589 PR Part A Provider - Hospital 7113220385 Practice locations: San Juan, PR

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1003366527. Details of each certification follow.

Hospital certification: CCN 400135

Legal name
CENTRO DE CANCER DE LA UNIVERSIDAD
Doing business as
HOSPITAL CENTRO COMPRENSIVO DEL CANCER
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Oct 10, 2019
Last certification
Jul 17, 2025
Beds
96
Ownership / control type
State
Organization structure
GovernmentNon-profit
Enrollment address
PR-21 Int PR 18 Bo. Monacillos Urbano
San Juan, PR 927
Main/Primary Hospital Location
Hospital subgroups
Acute care

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospital

Medicare Care Compare
Listed as
Hospital Centro Comprensivo del CancerCCN 400135 · All quality measures
Type
Acute Care Hospitals
Ownership
Government - State
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Centro de Cancer de la Universidad3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 5

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Juan Pagan Ramos Individual Contracted Managing EmployeeCredentialing Management Feb 1, 2025
Ruben Ivan Rivera Lopez Individual Corporate DirectorFinance Director Apr 16, 2021 100%
W-2 Managing EmployeeFinance Director Apr 16, 2021 100%
Operational/Managerial ControlFinance Director Apr 16, 2021 100%
Centro de Cancer de la Universidad Organization, San Juan, PR Created for acquisition, Corporation, Non-profit 5% Or Greater Direct Ownership Interest Aug 26, 2004 100%
Operational/Managerial Control Aug 26, 2004 100%
Dorimar Morales Torres Individual Corporate DirectorHospital Administrator Jan 22, 2024
W-2 Managing EmployeeAd; Jan 22, 2024
Operational/Managerial ControlHospital Administrator Jan 22, 2024
Elba Alicea Bonilla Individual Corporate DirectorRevenue Cycle Director Apr 15, 2024
W-2 Managing EmployeeRevenue Cycle Director Apr 15, 2024
Operational/Managerial ControlRevenue Cycle Director Apr 15, 2024

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 24

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 24

Affiliated clinicians 56

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 56

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1475798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738800000000",
    "number": "1003366527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 363027",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009363027",
            "telephone_number": "787-772-8300",
            "fax_number": "787-758-2557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PR21 INT PR18",
            "address_2": "BO MONACILLOS",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00927",
            "telephone_number": "787-772-8300",
            "fax_number": "787-758-2557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO DE CANCER DE LA UNIVERSIDAD",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-07",
        "last_updated": "2025-02-06",
        "certification_date": "2025-02-06",
        "status": "A",
        "authorized_official_last_name": "ALICEA",
        "authorized_official_first_name": "ELBA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "787-772-8300",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "284300000X",
            "taxonomy_group": "",
            "desc": "Special Hospital",
            "state": "PR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Comprehensive Cancer Center Hospital",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Hospital Centro Comprensivo de Cancer",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.