Caribbean Health Alliance PSC

Primary specialty

Oncology Clinic/CenterTaxonomy code 261QX0200X

License

12702 Issued in PR

Legal business name

CARIBBEAN HEALTH ALLIANCE PSC

Practice address

La Fuente Town Center
706 C/ Marginal Suite 11139
Guayama, PR 00784

Phone

(787) 866-1500

Fax

(787) 866-1652

NPI assigned

Feb 16, 2012

Last updated

May 2, 2012By 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

Mr. Samuel A Gonzalez, M.DNPI 1861474223

Title

Presidente

Phone

(787) 866-1500

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Practitioners 1

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.

• Samuel A Gonzalez, MD

  • Hematology & Oncology Physician
  • Guayama, PR
  • NPI 1861474223
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1329350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335916800000",
    "number": "1437422714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 177",
            "city": "GUAYAMA",
            "state": "PR",
            "postal_code": "007850177",
            "telephone_number": "787-866-1500",
            "fax_number": "787-866-1652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "LA FUENTE TOWN CENTER",
            "address_2": "706 C/ MARGINAL SUITE 11139",
            "city": "GUAYAMA",
            "state": "PR",
            "postal_code": "00784",
            "telephone_number": "787-866-1500",
            "fax_number": "787-866-1652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARIBBEAN HEALTH ALLIANCE PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-16",
        "last_updated": "2012-05-02",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENTE",
        "authorized_official_telephone_number": "787-866-1500",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "261QX0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oncology",
            "state": "PR",
            "license": "12702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Omar Candelario Valdivieso, LND
• Angela M Caraballo, MD
• Cardio Serv del Sur E CSP
• Alberto Cardona Robles, M.D.
• Nereida Cardona-Ocasio
• Caribbean Imaging and Radiation Treatment Center,Inc
• Carlos Rivera Urology LLC
• Omar Gabriel Caro Feliz, MD
• Sylveth Carrasquillo-Ruiz, LCSW, TAC-III
• Angel L Castaneda-Rueda, MD

• Oncology Clinic/Center in Guayama, PR
• Providers in Guayama, PR by specialty
• Oncology Clinic/Center in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2012; 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.