NPIMap

Organization Active NPI

Liga Puertorriquena Contra El Cancer

Doing business as Hospital Oncologico Dr. Issac Gonzalez Martinez

  • Special Hospital
  • San Juan, PR
National Provider Identifier
1407852338
Registry record updated Jun 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Special HospitalTaxonomy code 284300000X
Legal business name
LIGA PUERTORRIQUENA CONTRA EL CANCER
Doing business as
Hospital Oncologico Dr. Issac Gonzalez Martinez
Practice address
Bo Monacillos 150 Ave Americo Miranda
Area Centro Medico Metropolitano
San Juan, PR 00935-0001
Phone
(787) 763-4149
Fax
(787) 641-4601
NPI assigned
Jun 24, 2005
Last updated
Jun 27, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2013

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

Authorized official

Name
Mr. Jorge De Jesus Rozas Sr., MHSA
Title
Executive Director
Phone
(787) 763-4149

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Special Hospital 284300000X #65 PR
Special Hospital 284300000X Primary

Addresses

Primary practice location

Bo Monacillos 150 Ave Americo Miranda
Area Centro Medico Metropolitano
San Juan, PR 00935-0001

Mailing address

PO Box 191811
San Juan, PR 00919-1811
Phone (787) 763-4149

Other names 1

  • Hospital Oncologico Dr. Issac Gonzalez Martinez Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20060630000324 PR Part A Provider - Hospital 5890707129 Practice locations: Rio Piedras, PR
O20181226002275 PR Part A Provider - Hospital 5890707129 Practice locations: San Juan, PR

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1407852338. Details of each certification follow.

Hospital certification: CCN 400012

Legal name
LIGA PUERTORRIQUENA CONTRA EL CANCER
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Apr 5, 2024
Beds
140 (46 certified)
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Apr 9, 1938 in PR
Enrollment address
Bo Monacillos Carr 22 Centro Medico de Puerto Rico
Rio Piedras, PR 9350001
Other Hospital Practice Location
Hospital subgroups
Short-term, Specialty hospital

Hospital certification: CCN 40T012

Legal name
LIGA PUERTORRIQUENA CONTRA EL CANCER
Organization structure
CorporationNon-profit
Incorporated
Apr 9, 1938 in PR
Enrollment address
Centro Medico
150 Ave Americo Miranda
San Juan, PR 9350001
Hospital Rehabilitation Unit
Hospital subgroups
Rehabilitation unit

Care Compare: Hospital

Medicare Care Compare
Listed as
Hospital Oncologico Dr Isaac Gonzalez MartinezCCN 400012 · All quality measures
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
No

Care Compare: Inpatient rehabilitation facility

Medicare Care Compare
Listed as
Hospital Oncologico Dr Isaac Gonzalez MartinezCCN 40T012 · All quality measures
Ownership
Non-profit
Certified
Jul 1, 2019

National Provider Directory

National Provider Directory
Tax ID family
Hosp I Gonzalez Martinez4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Ownership & related parties

All disclosed owners & managing parties 8

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Julio J Diaz Individual Corporate DirectorFacultative Director Jan 19, 2016
Rebeca Garcia Luque Individual W-2 Managing EmployeeExecutive Director Assistant Jun 27, 2013
W-2 Managing EmployeeExecutive Assistant Jun 1, 2005
Ramon Gonzalez Individual Corporate DirectorPresident of Board Jul 12, 2012
Orlando Rivera de Leon Individual Operational/Managerial ControlExecutive Director May 8, 2023
Lillian M Torres Individual W-2 Managing EmployeeFinance Director Nov 19, 2007
Jose L Valentin Rodriguez Individual Corporate DirectorVice President Board of Director Apr 28, 2016
Lissette Lacomba Acevedo Individual Corporate DirectorMember of Board Feb 1, 2011
Lidio V Soriano Cabrera Individual Corporate DirectorMember of Board Aug 23, 2018

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 14

Affiliated clinicians 25

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1119571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372291200000",
    "number": "1407852338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 191811",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009191811",
            "telephone_number": "787-763-4149",
            "fax_number": "787-641-4601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BO MONACILLOS 150 AVE AMERICO MIRANDA",
            "address_2": "AREA CENTRO MEDICO METROPOLITANO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009350001",
            "telephone_number": "787-763-4149",
            "fax_number": "787-641-4601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGA PUERTORRIQUENA CONTRA EL CANCER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-24",
        "last_updated": "2013-06-27",
        "status": "A",
        "authorized_official_last_name": "DE JESUS ROZAS",
        "authorized_official_first_name": "JORGE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "787-763-4149",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "MHSA"
    },
    "taxonomies": [
        {
            "code": "284300000X",
            "taxonomy_group": "",
            "desc": "Special Hospital",
            "state": "PR",
            "license": "#65",
            "primary": false
        },
        {
            "code": "284300000X",
            "taxonomy_group": "",
            "desc": "Special Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hospital Oncologico Dr. Issac Gonzalez Martinez",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.