Clinica de Cancer Y Enfermedades de la Sangre, CSP

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

10679 Issued in PR

Legal business name

CLINICA DE CANCER Y ENFERMEDADES DE LA SANGRE, CSP

Practice address

Carr 460 KM 0.2 Bo Caimital Bajo
Aguadilla, PR 00603-4055

Phone

(787) 882-3975

Fax

(787) 997-0123

NPI assigned

Aug 3, 2006

Organization subpart

No

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

Authorized official

Name

Victor J Vazquez-Rodriguez, MDNPI 1427266956

Title

President

Phone

(787) 882-3975

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Clinica de Cancer y Enfermedades de la Sangre, CSP Other name

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Tax ID family

Clinica de Cancer Y Enfermedades de la Sangre CSP2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Clinica de Cancer Y Enfermedades de la Sangre, CSP

  • Oncology Clinic/Center
  • Aguadilla, PR
  • NPI 1528249265
  NPD tax ID

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Clinica de Cancer Y Enfermedades de la Sangre, CSP

  • Oncology Clinic/Center
  • Aguadilla, PR
  • NPI 1528249265
  NPPES parent name

Practitioners 1

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

• Victor J Vazquez-Rodriguez, M.D.

  • Hematology & Oncology Physician
  • Aguadilla, PR
  • NPI 1427266956
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729814400000",
    "number": "1265440788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5191",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "006055191",
            "telephone_number": "787-882-3975",
            "fax_number": "787-997-0123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 460 KM 0.2 BO CAIMITAL BAJO",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "006034055",
            "telephone_number": "787-882-3975",
            "fax_number": "787-997-0123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICA DE CANCER Y ENFERMEDADES DE LA SANGRE, CSP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-03",
        "last_updated": "2024-10-25",
        "certification_date": "2024-10-25",
        "status": "A",
        "authorized_official_last_name": "VAZQUEZ-RODRIGUEZ",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-882-3975",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "PR",
            "license": "10679",
            "primary": true
        },
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QX0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oncology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA ID NUMBER",
            "identifier": "40D0944775",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clinica de Cancer y Enfermedades de la Sangre, CSP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Hematology & Oncology Physician in Aguadilla, PR
• Providers in Aguadilla, PR by specialty
• Hematology & Oncology Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.