Organization Active NPI

Cris Oncology, LLC

  • Hematology & Oncology Physician
  • Kissimmee, FL
National Provider Identifier
1053796995
Registry record updated Jul 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
ME89846 Issued in FL
Legal business name
CRIS ONCOLOGY, LLC
Practice address
201 Hilda St
Suite 33
Kissimmee, FL 34741-2320
Phone
(407) 637-4687
NPI assigned
Jul 21, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2015

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

Authorized official

Name
Ricardo H Crisostomo
Title
Sole Member
Phone
(407) 637-4687

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RH0003X ME89846 FL Primary

Addresses

Primary practice location

201 Hilda St
Suite 33
Kissimmee, FL 34741-2320

Mailing address

201 Hilda St
Suite 33
Kissimmee, FL 34741-2320
Phone (407) 637-4687

National Provider Directory

National Provider Directory

Locations

201 Hilda St
Ste 33
Kissimmee, FL 34741
Phone (407) 350-3776

NPI Registry JSON

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

{
    "created_epoch": "1437436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437436800000",
    "number": "1053796995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 HILDA ST",
            "address_2": "SUITE 33",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347412320",
            "telephone_number": "407-637-4687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 HILDA ST",
            "address_2": "SUITE 33",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347412320",
            "telephone_number": "407-637-4687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRIS ONCOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-21",
        "last_updated": "2015-07-21",
        "status": "A",
        "authorized_official_last_name": "CRISOSTOMO",
        "authorized_official_first_name": "RICARDO",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "407-637-4687"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "FL",
            "license": "ME89846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.