NPIMap

Organization Active NPI

SPR Pediatric & Aya Hematology-Oncology Partners LLC

  • Pediatric Hematology & Oncology Physician
  • San Juan, PR
National Provider Identifier
1194560631
Registry record updated Jun 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Hematology & Oncology PhysicianTaxonomy code 2080P0207X
Legal business name
SPR PEDIATRIC & AYA HEMATOLOGY-ONCOLOGY PARTNERS LLC
Practice address
252 Calle San Jorge
Oficina 504
San Juan, PR 00912-3239
Phone
(787) 728-1575
NPI assigned
Jun 26, 2024
Last updated
Jun 26, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2024

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

Authorized official

Name
Dr. Samuel Pabon-Rivera, MDNPI 1194269555
Title
President
Phone
(787) 248-6575

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
Pediatric Hematology & Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2080P0207X Primary

Addresses

Primary practice location

252 Calle San Jorge
Oficina 504
San Juan, PR 00912-3239

Mailing address

252 Calle San Jorge
Oficina 504
San Juan, PR 00912-3239
Phone (787) 728-1575

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

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": "1719360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719360000000",
    "number": "1194560631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "252 CALLE SAN JORGE",
            "address_2": "OFICINA 504",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009123239",
            "telephone_number": "787-728-1575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "252 CALLE SAN JORGE",
            "address_2": "OFICINA 504",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009123239",
            "telephone_number": "787-728-1575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPR PEDIATRIC & AYA HEMATOLOGY-ONCOLOGY PARTNERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-26",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A",
        "authorized_official_last_name": "PABON-RIVERA",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-248-6575",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080P0207X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Pediatric 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 Jun 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.