Advance Oncology Group

Primary specialty

Oncology Clinic/CenterTaxonomy code 261QX0200X

Legal business name

ADVANCE ONCOLOGY GROUP

Practice address

150 Ave Pedro Albizu Campos
Reparto Lopez
Aguadilla, PR 00603-5714

Phone

(787) 891-0027

Fax

(787) 997-2222

NPI assigned

Sep 22, 2011

Last updated

Apr 17, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Liza M Paulo Malave, MDNPI 1205039047

Title

Director

Phone

(787) 891-0027

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• Advance Oncology Group Former legal business name

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Locations

Practitioners 4

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.

• Liza Mariel Paulo Malave, MD

  • Hematology & Oncology Physician
  • Aguadilla, PR
  • NPI 1205039047
  Medicare reassignment NPD Authorized official
• Orlando Camacho-Geck, MD

  • Nephrology Physician
  • Santa Isabel, PR
  • NPI 1659684819
  NPD (past)
• Hiram Daniel Ortega, MD, JD

  • Gastroenterology Physician
  • Aguadilla, PR
  • NPI 1184828295
  NPD (past)
• Jorge Roman-Deynes, M.D.

  • Orthopaedic Surgery Physician
  • Aguadilla, PR
  • NPI 1972707644
  NPD (past)

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

{
    "created_epoch": "1316649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713312000000",
    "number": "1184907479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "GALLERY PLAZA 103",
            "address_2": "AVE JOSE DE DIEGO APT 2107",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00911",
            "telephone_number": "787-891-0027",
            "fax_number": "787-997-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 AVE PEDRO ALBIZU CAMPOS",
            "address_2": "REPARTO LOPEZ",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "006035714",
            "telephone_number": "787-891-0027",
            "fax_number": "787-997-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCE ONCOLOGY GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-22",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-17",
        "status": "A",
        "authorized_official_last_name": "PAULO MALAVE",
        "authorized_official_first_name": "LIZA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "787-891-0027",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": "PR",
            "license": "16891",
            "primary": false
        },
        {
            "code": "261QX0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oncology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "16861",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advance Oncology Group",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Advance Oncology Group",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Oncology Clinic/Center in Aguadilla, PR
• Providers in Aguadilla, PR by specialty
• Oncology Clinic/Center in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2024; 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.