Organization Active NPI

Comprehensive Cancer Specialists

  • Surgical Oncology Physician
  • San Juan, PR
National Provider Identifier
1518364686
Registry record updated Jul 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Oncology PhysicianTaxonomy code 2086X0206X
License
18873 Issued in PR
Legal business name
COMPREHENSIVE CANCER SPECIALISTS
Practice address
29 Washington Street
Ste 601-602 Ashford Medical Ctr
San Juan, PR 00907
Phone
(787) 249-9560
Fax
(509) 275-5604
NPI assigned
Dec 4, 2014
Last updated
Jul 1, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2024

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

Authorized official

Name
Dr. Angel Miguel Rodriguez Rivera, MDNPI 1134419161
Title
President
Phone
(787) 782-9999

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 18873 PR
Surgical Oncology Physician 2086X0206X 18873 PR Primary

Addresses

Primary practice location

29 Washington Street
Ste 601-602 Ashford Medical Ctr
San Juan, PR 00907

Mailing address

29 Washington Street
Ste 601-602 Ashford Medical Ctr
San Juan, PR 00907-1521
Phone (787) 249-9560

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150207000280 PR Part B Supplier - Clinic/Group Practice 8123343498 Receives reassigned benefits from 1 practitioner
Practice locations: San Juan, PR

National Provider Directory

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1417651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719792000000",
    "number": "1518364686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 WASHINGTON STREET",
            "address_2": "STE 601-602 ASHFORD MEDICAL CTR",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009071521",
            "telephone_number": "787-249-9560",
            "fax_number": "509-275-5604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 WASHINGTON STREET",
            "address_2": "STE 601-602 ASHFORD MEDICAL CTR",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00907",
            "telephone_number": "787-249-9560",
            "fax_number": "509-275-5604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE CANCER SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-04",
        "last_updated": "2024-07-01",
        "certification_date": "2024-06-21",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ RIVERA",
        "authorized_official_first_name": "ANGEL",
        "authorized_official_middle_name": "MIGUEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-782-9999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PR",
            "license": "18873",
            "primary": false
        },
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": "PR",
            "license": "18873",
            "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 Jul 1, 2024; 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.