Individual provider Active NPI

Jaime Emilio Tome Vila, MD

  • Radiation Oncology Physician
  • San Juan, PR
National Provider Identifier
1386729598
Registry record updated Apr 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
12888 Issued in PR
Practice address
400 Ave FD Roosevelt
Suite 109
San Juan, PR 00918-2103
Phone
(787) 764-5666
Fax
(787) 767-7040
NPI assigned
Oct 26, 2006
Last updated
Apr 2, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 12888 PR Primary

Addresses

Primary practice location

400 Ave FD Roosevelt
Suite 109
San Juan, PR 00918-2103

Mailing address

PO Box 70321
San Juan, PR 00936-8321
Phone (787) 764-5666

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081016000185 PR Practitioner - Radiation Oncology 3678655883 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
University of Puerto Rico School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tome and Ubinas Radio Oncology CenterGroup PAC ID 6608958806, 3 clinicians

Practice addresses (Care Compare)

400 Ave FD Roosevelt
Suite 109
San Juan, PR 00918-2129
Phone 7877645666236

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Tome & Ubinas Radio Oncology Center CurrentSince Apr 28, 1997 Accepting new patients
Tome Imbert Radiation Oncology LLC Radiation Oncology PastSince Apr 28, 1997 Accepting new patients

Locations

174 Calle Luis Barreras S
Cayey, PR 00736
Phone (787) 263-0966

400 Ave Fd Roosevelt
Ste 109
San Juan, PR 00918
Phone (787) 721-8000

Interoperability endpoints

  • Direct secure messaging: sjcjtome@yourcarecommunity.org

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554163200000",
    "number": "1386729598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 70321",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009368321",
            "telephone_number": "787-764-5666",
            "fax_number": "787-767-7040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 AVE FD ROOSEVELT",
            "address_2": "SUITE 109",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009182103",
            "telephone_number": "787-764-5666",
            "fax_number": "787-767-7040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOME VILA",
        "first_name": "JAIME",
        "middle_name": "EMILIO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-26",
        "last_updated": "2019-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "PR",
            "license": "12888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.