Organization Active NPI

Grupo Radioterapia del Norte

  • Radiation Therapy Radiologic Technologist
  • Manat, PR
National Provider Identifier
1104815737
Registry record updated Dec 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Therapy Radiologic TechnologistTaxonomy code 2471R0002X
Legal business name
GRUPO RADIOTERAPIA DEL NORTE
Practice address
Road #2 KM 47.7
Manat, PR 00674
Phone
(787) 621-0021
Fax
(787) 621-0023
NPI assigned
Oct 17, 2005
Last updated
Dec 4, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2008

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

Authorized official

Name
Dr. Carlos M. Chevere, M.D.NPI 1023025285
Title
Predident
Phone
(787) 621-0021

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 Therapy Radiologic TechnologistGroup: 193400000X SINGLE SPECIALTY GROUP 2471R0002X Primary

Addresses

Primary practice location

Road #2 KM 47.7
Manat, PR 00674

Mailing address

PMB 298
PO Box 30500
Manati, PR 00674
Phone (787) 621-0021

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060210000016 PR Part B Supplier - Clinic/Group Practice 9335154400 Receives reassigned benefits from 2 practitioners
Practice locations: Manati, PR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1129507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228348800000",
    "number": "1104815737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PMB 298",
            "address_2": "PO BOX 30500",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "00674",
            "telephone_number": "787-621-0021",
            "fax_number": "787-621-0023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ROAD #2 KM 47.7",
            "city": "MANAT",
            "state": "PR",
            "postal_code": "00674",
            "telephone_number": "787-621-0021",
            "fax_number": "787-621-0023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRUPO RADIOTERAPIA DEL NORTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-17",
        "last_updated": "2008-12-04",
        "status": "A",
        "authorized_official_last_name": "CHEVERE",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PREDIDENT",
        "authorized_official_telephone_number": "787-621-0021",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2471R0002X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiologic Technologist, Radiation Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manat, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2008; 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.