Organization Active NPI

PR Oncology LLC

  • Hematology & Oncology Physician
  • San Juan, PR
National Provider Identifier
1144842659
Registry record updated Aug 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
Legal business name
PR ONCOLOGY LLC
Practice address
97 Ave de Diego
San Juan, PR 00927-6310
Phone
(939) 545-6353
Fax
(939) 545-6354
NPI assigned
May 7, 2020
Last updated
Aug 16, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2025

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

Authorized official

Name
Luis Baez Vallecillo, MDNPI 1265788855
Title
Presidente
Phone
(939) 545-6353

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
Hematology & Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RH0003X Primary

Addresses

Primary practice location

97 Ave de Diego
San Juan, PR 00927-6310

Mailing address

97 Ave de Diego
San Juan, PR 00927-6310
Phone (787) 919-7919

Other practice location 1

10 Calle Acosta
Caguas, PR 00725-2646
Phone (787) 919-7919

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200601000345 PR Part B Supplier - Clinic/Group Practice 2163843111 Receives reassigned benefits from 1 practitioner
Practice locations: San Juan, PR; Caguas, PR

National Provider Directory

National Provider Directory

Locations

10 Calle Acosta
Caguas, PR 00725
Phone (787) 746-2858

97 Ave de Diego
San Juan, PR 00927
Phone (787) 919-7919

Practitioners & affiliated clinicians

Practitioners 6

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": "1588809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755302400000",
    "number": "1144842659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "97 AVE DE DIEGO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009276310",
            "telephone_number": "787-919-7919",
            "fax_number": "939-545-6354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "97 AVE DE DIEGO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009276310",
            "telephone_number": "939-545-6353",
            "fax_number": "939-545-6354"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 Calle Acosta",
            "address_purpose": "LOCATION",
            "city": "Caguas",
            "state": "PR",
            "postal_code": "007252646",
            "country_code": "US",
            "telephone_number": "787-919-7919",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PR ONCOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-07",
        "last_updated": "2025-08-16",
        "certification_date": "2025-08-16",
        "status": "A",
        "authorized_official_last_name": "BAEZ VALLECILLO",
        "authorized_official_first_name": "LUIS",
        "authorized_official_title_or_position": "PRESIDENTE",
        "authorized_official_telephone_number": "939-545-6353",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2025; 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.