Bayamon Oncology Medical CSP

Primary specialty

Oncology Clinic/CenterTaxonomy code 261QX0200X

License

7336 Issued in PR

Legal business name

BAYAMON ONCOLOGY MEDICAL CSP

Practice address

66 Calle Santa Cruz
Inst. San Pablo Suite 509
Bayamon, PR 00961-7041

Phone

(787) 269-4740

Fax

(787) 269-4670

NPI assigned

Mar 17, 2015

Last updated

Mar 17, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kenel Fernandez, MD

Title

President

Phone

(787) 269-4740

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Locations

Practitioners 2

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.

• Kenel Fernandes Barbosa, MD

  • Hematology & Oncology Physician
  • Bayamon, PR
  • NPI 1104919166
  Medicare reassignment Care Compare group NPD
• Monica Mendez Ayala, M.D.

  • Specialist
  • Manati, PR
  • NPI 1477580983
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1426550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426550400000",
    "number": "1043603889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6310",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009605310",
            "telephone_number": "787-269-4740",
            "fax_number": "787-269-4670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 CALLE SANTA CRUZ",
            "address_2": "INST. SAN PABLO SUITE 509",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009617041",
            "telephone_number": "787-269-4740",
            "fax_number": "787-269-4670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYAMON ONCOLOGY MEDICAL CSP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-17",
        "last_updated": "2015-03-17",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ",
        "authorized_official_first_name": "KENEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-269-4740",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QX0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oncology",
            "state": "PR",
            "license": "7336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bayamon Medical Center Corp
• Bayamon Medical Pharmacy & Cafeteria,Inc.
• Bayamon Medical Solutions
• Bayamon Medical Wellness Center, PSC
• Bayamon Neurology Services, PSC
• Bayamon Optical Inc
• Bayamon Parcial
• Bayamon Pediatric and Adolescent Medicine Services,PSC
• Bayamon Pediatric Pulmonary Services
• Bayamon Podiatric Clinic PSC

• Oncology Clinic/Center in Bayamon, PR
• Providers in Bayamon, PR by specialty
• Oncology Clinic/Center in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2015; 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.