Organization Active NPI

Precision Oncology Institute LLC

  • Oncology Clinic/Center
  • San Juan, PR
National Provider Identifier
1225794589
Registry record updated Apr 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oncology Clinic/CenterTaxonomy code 261QX0200X
Legal business name
PRECISION ONCOLOGY INSTITUTE LLC
Practice address
La Casa Suite 101
1507 Ponce de Leon Avenue
San Juan, PR 00909
Phone
(787) 407-3333
NPI assigned
Nov 11, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2025

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

Authorized official

Name
Mrs. Gabriela Herrans Maya
Title
Administrator
Phone
(787) 420-5600

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RH0003X
Research Clinic/Center 261QR1100X
Oncology Clinic/Center 261QX0200X Primary
Compounding Pharmacy 3336C0004X
Pediatric Oncology Clinical Nurse SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 364SX0204X

Addresses

Primary practice location

La Casa Suite 101
1507 Ponce de Leon Avenue
San Juan, PR 00909

Mailing address

PO Box 9022971
San Juan, PR 00902-2971
Phone (787) 407-3333

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231010001716 PR Part B Supplier - Clinic/Group Practice 0840663373 Receives reassigned benefits from 3 practitioners
Practice locations: San Juan, PR; Dorado, PR

National Provider Directory

National Provider Directory

Locations

BO Monacillos 150 Aveamerico Miranda
San Juan, PR 00935
Phone (787) 407-3333

BO Monacillos 150 Ave Americo Miranda
San Juan, PR 00935
Phone (787) 407-3333

Practitioners & affiliated clinicians

Practitioners 3

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": "1636588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745452800000",
    "number": "1225794589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9022971",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009022971",
            "telephone_number": "787-407-3333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "LA CASA SUITE 101",
            "address_2": "1507 PONCE DE LEON AVENUE",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00909",
            "telephone_number": "787-407-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECISION ONCOLOGY INSTITUTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-11",
        "last_updated": "2025-04-24",
        "certification_date": "2025-04-24",
        "status": "A",
        "authorized_official_last_name": "HERRANS MAYA",
        "authorized_official_first_name": "GABRIELA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "787-420-5600",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Research",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QX0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oncology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "364SX0204X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Nurse Specialist, Oncology, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Apr 24, 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.