Organization Active NPI

Centro de Hematologia Y Oncologia Medica Ashford PSC

  • Medical Specialty Clinic/Center
  • San Juan, PR
National Provider Identifier
1336461672
Registry record updated Oct 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
12855 Issued in PR
Legal business name
CENTRO DE HEMATOLOGIA Y ONCOLOGIA MEDICA ASHFORD PSC
Practice address
Ashford Ave and Washington St 29
Suite 604
San Juan, PR 00907
Phone
(787) 725-6356
Fax
(787) 724-3527
NPI assigned
Feb 26, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2015

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

Authorized official

Name
Dr. Hilda E Rivera-Quinones, MDNPI 1275682502
Title
President
Phone
(787) 725-6356

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
Medical Specialty Clinic/Center 261QM2500X 12855 PR Primary

Addresses

Primary practice location

Ashford Ave and Washington St 29
Suite 604
San Juan, PR 00907

Mailing address

Ashford Ave. Washington St 29
Suite 604
San Juan, PR 00907-1521
Phone (787) 725-6356

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151230000774 PR Part B Supplier - Clinic/Group Practice 0941502462 Receives reassigned benefits from 1 practitioner
Practice locations: San Juan, PR

National Provider Directory

National Provider Directory
Tax ID family
Centro de Hematologia Y Oncologia Medica Ashford PSC2 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.

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": "1267142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445299200000",
    "number": "1336461672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ASHFORD AVE. WASHINGTON ST 29",
            "address_2": "SUITE 604",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009071521",
            "telephone_number": "787-725-6356",
            "fax_number": "787-724-3527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ASHFORD AVE AND WASHINGTON ST 29",
            "address_2": "SUITE 604",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00907",
            "telephone_number": "787-725-6356",
            "fax_number": "787-724-3527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO DE HEMATOLOGIA Y ONCOLOGIA MEDICA ASHFORD PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-26",
        "last_updated": "2015-10-20",
        "status": "A",
        "authorized_official_last_name": "RIVERA-QUINONES",
        "authorized_official_first_name": "HILDA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-725-6356",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "PR",
            "license": "12855",
            "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 Oct 20, 2015; 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.