NPIMap

Individual provider Active NPI

Alexis Manuel Cruz-Chacon, MD

  • Hematology & Oncology Physician
  • San Juan, PR
National Provider Identifier
1083898969
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
17501 Issued in PR
Practice address
Hospital Auxilio Mutuo
715 Ponce de Leon Pda 37 1/2
San Juan, PR 00919-2712
Phone
(787) 758-2000
Fax
(787) 771-7593
NPI assigned
Dec 27, 2007
Last updated
Nov 27, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 17501 PR
Hematology & Oncology Physician 207RH0003X 17501 PR Primary

Addresses

Primary practice location

Hospital Auxilio Mutuo
715 Ponce de Leon Pda 37 1/2
San Juan, PR 00919-2712

Mailing address

600 Blvd de la Montana Apt 383
San Juan, PR 00926-7115
Phone (787) 758-2000

Other practice location 1

Hospital Municipal de San Juan
Centro Medico de Puerto Rico
San Juan, PR 00936
Phone (787) 282-0882

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address acchacon@auxiliomutuo.com Hospital Auxilio Mutuo

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140814002112 PR Practitioner - Hematology/OncologyPractitioner - Internal Medicine 8022235092 Reassigns benefits to 3 organizations
Practice locations: San Juan, PR

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: Internal Medicine
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

715 Ave Ponce de Leon
Stop 37.5
San Juan, PR 00917-5032
Phone (787) 758-2000

PR 21 Int PR
18 Bo. Monacillos Urbano
San Juan, PR 00927
Phone 78777283005302

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.6 of 100Reported as group
Quality
66.19
Improvement activities
40
Cost
73.97

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
17501PRMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Centro de Cancer de la Universidad Internal Medicine CurrentSince Feb 20, 2021 Accepting new patients
Hospital Espanol Auxilio Mutuo de Puerto Rico, Inc. Hematology CurrentSince Jul 28, 2014 Accepting new patients
TCT Oncology Hematology & Oncology Current Accepting new patients
Hospital Espanol Auxilio Mutuo de Puerto Rico, Inc. CurrentSince Jul 28, 2014 Accepting new patients
Centro de Cancer de la Universidad Internal Medicine Past Accepting new patients
Municipality of San Juan PR Past Accepting new patients

Locations

715 Ave Ponce de Leon
San Juan, PR 00917
Phone 7877582000 ext. 3216

715 Ave Ponce de Leon
Stop 375
San Juan, PR 00917
Phone 7877582000 ext. 3216

Interoperability endpoints

  • Direct secure messaging: alexis.cruzchacon@auxiliomutuo.ikm.direct-ci.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 18

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1198713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1083898969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 BLVD DE LA MONTANA APT 383",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009267115",
            "telephone_number": "787-758-2000",
            "fax_number": "787-771-7593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HOSPITAL AUXILIO MUTUO",
            "address_2": "715 PONCE DE LEON PDA 37 1/2",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009192712",
            "telephone_number": "787-758-2000",
            "fax_number": "787-771-7593"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Hospital Municipal de San Juan",
            "address_2": "Centro Medico de Puerto Rico",
            "address_purpose": "LOCATION",
            "city": "San Juan",
            "state": "PR",
            "postal_code": "00936",
            "country_code": "US",
            "telephone_number": "787-282-0882",
            "fax_number": "787-767-0493",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRUZ-CHACON",
        "first_name": "ALEXIS",
        "middle_name": "MANUEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-27",
        "last_updated": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "17501",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "PR",
            "license": "17501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "acchacon@auxiliomutuo.com",
            "affiliation": "Y",
            "affiliationName": "Hospital Auxilio Mutuo",
            "address_1": "Hospital Auxilio Mutuo",
            "address_2": "715 Ponce de Leon Pda 37 1/2",
            "city": "San Juan",
            "state": "PR",
            "country_code": "US",
            "postal_code": "009192712",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.