Organization Active NPI

Centro Integrado de Cancer del Sur, PSC

  • Hematology & Oncology Physician
  • Coto Laurel, PR
National Provider Identifier
1306153556
Registry record updated Nov 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
8170 Issued in PR
Legal business name
CENTRO INTEGRADO DE CANCER DEL SUR, PSC
Practice address
Carr. 506 KM 1.0
Torre San Cristobal Suite 408
Coto Laurel, PR 00780-0000
Phone
(787) 366-7772
NPI assigned
Sep 9, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2010

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

Authorized official

Name
Dr. Hector Silva Rivera, M.D.NPI 1134194533
Title
M.D.
Phone
(410) 733-2888

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
Hematology & Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RH0003X 8170 PR Primary

Addresses

Primary practice location

Carr. 506 KM 1.0
Torre San Cristobal Suite 408
Coto Laurel, PR 00780-0000

Mailing address

PO Box 801013
Coto Laurel, PR 00780-1013
Phone (787) 366-7772

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110104000366 PR Part B Supplier - Clinic/Group Practice 6901095199 Receives reassigned benefits from 1 practitioner
Practice locations: San Juan, PR

National Provider Directory

National Provider Directory

Locations

103 Torre San Cristobal
Ste 103
Coto Laurel, PR 00780
Phone (787) 366-7772

Ownership & related parties

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.

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": "1283990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288742400000",
    "number": "1306153556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 801013",
            "city": "COTO LAUREL",
            "state": "PR",
            "postal_code": "007801013",
            "telephone_number": "787-366-7772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR. 506 KM 1.0",
            "address_2": "TORRE SAN CRISTOBAL SUITE 408",
            "city": "COTO LAUREL",
            "state": "PR",
            "postal_code": "007800000",
            "telephone_number": "787-366-7772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO INTEGRADO DE CANCER DEL SUR, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-09",
        "last_updated": "2010-11-03",
        "status": "A",
        "authorized_official_last_name": "SILVA RIVERA",
        "authorized_official_first_name": "HECTOR",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "410-733-2888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "PR",
            "license": "8170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coto Laurel, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2010; 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.