Organization Active NPI

Centro Oncologico de la Mujer de Puerto Rico CSP

  • Oncology Clinic/Center
  • Ponce, PR
National Provider Identifier
1174954481
Registry record updated Feb 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oncology Clinic/CenterTaxonomy code 261QX0200X
License
16950 Issued in PR
Legal business name
CENTRO ONCOLOGICO DE LA MUJER DE PUERTO RICO CSP
Practice address
1378 Calle Salud
Ponce, PR 00717-2004
Phone
(787) 813-3552
Fax
(787) 984-3552
NPI assigned
Dec 12, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2014

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

Authorized official

Name
Dr. Anna Maria Di Marco, MDNPI 1992981690
Title
President
Phone
(787) 548-8412

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
Oncology Clinic/Center 261QX0200X 16950 PR Primary

Addresses

Primary practice location

1378 Calle Salud
Ponce, PR 00717-2004

Mailing address

609 Ave Tito Castro Ste 102
PMB 359
Ponce, PR 00716-0200
Phone (787) 548-8412

Other names 1

  • Centro de cancer de la mujer Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140321000437 PR Part B Supplier - Clinic/Group Practice 7214168988 Receives reassigned benefits from 1 practitioner
Practice locations: Ponce, PR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1386806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393372800000",
    "number": "1174954481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 AVE TITO CASTRO STE 102",
            "address_2": "PMB 359",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007160200",
            "telephone_number": "787-548-8412",
            "fax_number": "787-651-6303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1378 CALLE SALUD",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007172004",
            "telephone_number": "787-813-3552",
            "fax_number": "787-984-3552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO ONCOLOGICO DE LA MUJER DE PUERTO RICO CSP",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-12",
        "last_updated": "2014-02-26",
        "status": "A",
        "authorized_official_last_name": "DI MARCO",
        "authorized_official_first_name": "ANNA",
        "authorized_official_middle_name": "MARIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-548-8412",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QX0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oncology",
            "state": "PR",
            "license": "16950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Centro de cancer de la mujer",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Ponce, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2014; 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.