NPIMap

Organization Active NPI

Precise Radiation Oncology Center PSC

  • Radiation Oncology Physician
  • Bayamon, PR
National Provider Identifier
1033426614
Registry record updated Dec 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
Legal business name
PRECISE RADIATION ONCOLOGY CENTER PSC
Practice address
Edif Hermanas Davilas Ste G1
Calle Marginal, 5Ta Seccion, Num 4
Bayamon, PR 00959-5041
Phone
(787) 460-4787
NPI assigned
Sep 3, 2010
Last updated
Dec 6, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2010

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

Authorized official

Name
Dr. Luisa Vanessa Marcial, MDNPI 1326181462
Title
President
Phone
(787) 460-4787

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 Physician 2085R0001X PR Primary

Addresses

Primary practice location

Edif Hermanas Davilas Ste G1
Calle Marginal, 5Ta Seccion, Num 4
Bayamon, PR 00959-5041

Mailing address

PO Box 1589
Bayamon, PR 00960-1589
Phone (787) 460-4787

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110322000121 PR Part B Supplier - Clinic/Group Practice 2961685482 Receives reassigned benefits from 7 practitioners
Practice locations: Bayamon, PR

National Provider Directory

National Provider Directory

Locations

1 Calle Marginal
Ste G
Bayamon, PR 00959
Phone (787) 460-4787

5 Calle Marginal
Ste G1
Bayamon, PR 00959

Practitioners & affiliated clinicians

Practitioners 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1283472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291593600000",
    "number": "1033426614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1589",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009601589",
            "telephone_number": "787-460-4787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "EDIF HERMANAS DAVILAS STE G1",
            "address_2": "CALLE MARGINAL, 5TA SECCION, NUM 4",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009595041",
            "telephone_number": "787-460-4787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECISE RADIATION ONCOLOGY CENTER PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-03",
        "last_updated": "2010-12-06",
        "status": "A",
        "authorized_official_last_name": "MARCIAL",
        "authorized_official_first_name": "LUISA",
        "authorized_official_middle_name": "VANESSA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-460-4787",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "PR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Dec 6, 2010; 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.