Board Certified Oncology Group LLC

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

Legal business name

BOARD CERTIFIED ONCOLOGY GROUP LLC

Practice address

1519 Ave Ponce de Leon
Suite 1201
San Juan, PR 00909-1703

Phone

(787) 919-7690

Fax

(787) 919-7694

NPI assigned

Aug 7, 2014

Last updated

Aug 7, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Maria Perez, M.D.

Title

President

Phone

(787) 919-7690

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1407369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407369600000",
    "number": "1346659935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1519 AVE PONCE DE LEON",
            "address_2": "FIRST FEDERAL BUILDING",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00910",
            "telephone_number": "787-919-7690",
            "fax_number": "787-919-7694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1519 AVE PONCE DE LEON",
            "address_2": "SUITE 1201",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009091703",
            "telephone_number": "787-919-7690",
            "fax_number": "787-919-7694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOARD CERTIFIED ONCOLOGY GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-07",
        "last_updated": "2014-08-07",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-919-7690",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTRO",
            "identifier": "340105",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Hematology & Oncology Physician in San Juan, PR
• Providers in San Juan, 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 Aug 7, 2014; 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.