Organization Active NPI

Caribbean Radiation Oncology Center PSC

  • Radiation Oncology Clinic/Center
  • Bayamon, PR
National Provider Identifier
1013014422
Registry record updated Sep 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology Clinic/CenterTaxonomy code 261QX0203X
Legal business name
CARIBBEAN RADIATION ONCOLOGY CENTER PSC
Practice address
11-25 Carr. 174
Urb. Santa Rosa
Bayamon, PR 00959-6609
Phone
(787) 993-2800
Fax
(787) 778-5472
NPI assigned
Sep 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2009

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

Authorized official

Name
Mr. Pedro A. Serrano-Ojeda, MDNPI 1720159247
Title
President
Phone
(787) 993-2800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Clinic/Center 261QX0203X Primary

Addresses

Primary practice location

11-25 Carr. 174
Urb. Santa Rosa
Bayamon, PR 00959-6609

Mailing address

P.O. Box 958
Bayamon, PR 00960-0958
Phone (787) 993-2800

Other names 1

  • Caribbean TomoTherapy Center, PSC Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100323000808 PR Part B Supplier - Clinic/Group Practice 7315031838 Receives reassigned benefits from 1 practitioner
Practice locations: Bayamon, PR

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

11-25 Carr 174
Bayamon, PR 00959
Phone (787) 993-2800

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252886400000",
    "number": "1013014422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 958",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009600958",
            "telephone_number": "787-993-2800",
            "fax_number": "787-778-5472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11-25 CARR. 174",
            "address_2": "URB. SANTA ROSA",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009596609",
            "telephone_number": "787-993-2800",
            "fax_number": "787-778-5472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARIBBEAN RADIATION ONCOLOGY CENTER PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2009-09-14",
        "status": "A",
        "authorized_official_last_name": "SERRANO-OJEDA",
        "authorized_official_first_name": "PEDRO",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-993-2800",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QX0203X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oncology, Radiation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Caribbean TomoTherapy Center, PSC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Bayamon, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.