Organization Active NPI

Doctors Center Hematology & Oncology Group Bayamon PSC

  • Oncology Clinic/Center
  • Bayamon, PR
National Provider Identifier
1629248604
Registry record updated Jun 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oncology Clinic/CenterTaxonomy code 261QX0200X
License
10800 Issued in PR
Legal business name
DOCTORS CENTER HEMATOLOGY & ONCOLOGY GROUP BAYAMON PSC
Practice address
KM 12 3 Carr 2
Suite 2701, Urb Hermanas Davila
Bayamon, PR 00959
Phone
(787) 621-3400
Fax
(787) 621-3401
NPI assigned
Mar 6, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2009

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

Authorized official

Name
Mr. Cesar A Maldonado
Title
Administrator
Phone
(787) 621-3400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oncology Clinic/Center 261QX0200X 10800 PR Primary

Addresses

Primary practice location

KM 12 3 Carr 2
Suite 2701, Urb Hermanas Davila
Bayamon, PR 00959

Mailing address

1995 Carr 2
Suite 2701
Bayamon, PR 00959-2701
Phone (787) 621-3400

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090224000436 PR Part B Supplier - Clinic/Group Practice 3678638707 Receives reassigned benefits from 4 practitioners
Practice locations: Bayamon, PR

National Provider Directory

National Provider Directory
Tax ID family
Doctors Center Hematology2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

1995 Carr 2
Ste 2701
Bayamon, PR 00959
Phone (787) 395-7085

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1204761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245715200000",
    "number": "1629248604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1995 CARR 2",
            "address_2": "SUITE 2701",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009592701",
            "telephone_number": "787-621-3400",
            "fax_number": "787-621-3401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "KM 12 3 CARR 2",
            "address_2": "SUITE 2701, URB HERMANAS DAVILA",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00959",
            "telephone_number": "787-621-3400",
            "fax_number": "787-621-3401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCTORS CENTER HEMATOLOGY & ONCOLOGY GROUP BAYAMON PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-06",
        "last_updated": "2009-06-23",
        "status": "A",
        "authorized_official_last_name": "MALDONADO",
        "authorized_official_first_name": "CESAR",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "787-621-3400",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QX0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oncology",
            "state": "PR",
            "license": "10800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2009; 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.