Individual provider Active NPI

Myrna S. Andino-Camacho, MD

  • Hematology & Oncology Physician
  • Bayamon, PR
National Provider Identifier
1164723508
Registry record updated Sep 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
19830 Issued in PR
Practice address
135 Villa de la Fuente
Bayamon, PR 00959
Phone
(787) 368-0470
NPI assigned
Nov 16, 2010
Last updated
Sep 11, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 19830 PR Primary

Addresses

Primary practice location

135 Villa de la Fuente
Bayamon, PR 00959

Mailing address

Box 360612
San Juan, PR 00936
Phone (787) 368-0470

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180508000403 PR Practitioner - Hematology/OncologyPractitioner - Internal Medicine 4385908987 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: Internal Medicine
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Hematology and Oncology of Puerto RicoGroup PAC ID 7911068796, 6 clinicians

Practice addresses (Care Compare)

100 Ave Luis Munoz Marin
FL G
Caguas, PR 00725-6184
Phone (787) 744-8686

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
72.03 of 100Reported as group
Quality
40.6
Promoting interoperability
99
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
19830PRMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Hematology and Oncology of Puerto Rico Hematology & Oncology CurrentSince Feb 11, 2018 Accepting new patients

Locations

100 Ave Luis Munoz Marin
Fl G
Caguas, PR 00725

500 Ave Degetau
Ste 515
Caguas, PR 00725

Organizations & group practices 1

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 1

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

NPI Registry JSON

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

{
    "created_epoch": "1289865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568160000000",
    "number": "1164723508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BOX 360612",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00936",
            "telephone_number": "787-368-0470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 VILLA DE LA FUENTE",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00959",
            "telephone_number": "787-368-0470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDINO-CAMACHO",
        "first_name": "MYRNA",
        "middle_name": "S.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-16",
        "last_updated": "2019-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "PR",
            "license": "19830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

Verify at the official NPI Registry.