Active NPI
Grupo Radioterapia del Norte
- Radiation Therapy Radiologic Technologist
- Manat, PR
National Provider Identifier
1104815737
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Therapy Radiologic Technologist
- 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, 2008
- Organization subpart
- No
NPPES NPI Registry
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Therapy Radiologic Technologist | 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
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Radiation Oncology Physician
- Rio Piedras, PR
- NPI 1023025285
-
- Radiation Oncology Physician
- Rio Piedras, PR
- NPI 1366459596
-
- Radiation Oncology Physician
- Bayamon, PR
- NPI 1710994611
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.