NPIMap

Organization Active NPI

Tome & Ubinas Radio Oncology Center

  • Radiation Oncology Clinic/Center
  • San Juan, PR
National Provider Identifier
1043395031
Registry record updated Oct 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology Clinic/CenterTaxonomy code 261QX0203X
Legal business name
TOME & UBINAS RADIO ONCOLOGY CENTER
Practice address
400 Ave FD Roosevelt
Suite 109
San Juan, PR 00918-2103
Phone
(787) 764-5666
Fax
(787) 767-7040
NPI assigned
Oct 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2007

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

Authorized official

Name
Ms. Evelyn Fosse, CPA, MBA
Title
Administrative Director
Phone
(787) 764-5666

Specialties & licenses 1

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

Addresses

Primary practice location

400 Ave FD Roosevelt
Suite 109
San Juan, PR 00918-2103

Mailing address

PO Box 70321
San Juan, PR 00936-8321
Phone (787) 764-5666

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080214000355 PR Part B Supplier - Clinic/Group Practice 6608958806 Receives reassigned benefits from 4 practitioners
Practice locations: Cayey, PR; San Juan, PR

National Provider Directory

National Provider Directory

Locations

400 Ave Fd Roosevelt
Ste 109
San Juan, PR 00918
Phone (787) 721-8000

Practitioners & affiliated clinicians

Practitioners 6

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": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192665600000",
    "number": "1043395031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 70321",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009368321",
            "telephone_number": "787-764-5666",
            "fax_number": "787-767-7040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 AVE FD ROOSEVELT",
            "address_2": "SUITE 109",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009182103",
            "telephone_number": "787-764-5666",
            "fax_number": "787-767-7040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOME & UBINAS RADIO ONCOLOGY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2007-10-18",
        "status": "A",
        "authorized_official_last_name": "FOSSE",
        "authorized_official_first_name": "EVELYN",
        "authorized_official_title_or_position": "ADMINISTRATIVE DIRECTOR",
        "authorized_official_telephone_number": "787-764-5666",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CPA, MBA"
    },
    "taxonomies": [
        {
            "code": "261QX0203X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oncology, Radiation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2007; 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.