Organization Active NPI

Compass Immuno Oncology LLC

  • Oncology Clinic/Center
  • Humacao, PR
National Provider Identifier
1639887581
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oncology Clinic/CenterTaxonomy code 261QX0200X
Legal business name
COMPASS IMMUNO ONCOLOGY LLC
Practice address
Legacy Medical Center
12 Calle Victoria Suite 22
Humacao, PR 00971-4293
Phone
(787) 266-9151
Fax
(787) 520-7419
NPI assigned
Nov 9, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2024

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

Authorized official

Name
Chelsie Graybill
Title
Administrative
Phone
(787) 424-9888

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RH0003X
Oncology Clinic/Center 261QX0200X Primary

Addresses

Primary practice location

Legacy Medical Center
12 Calle Victoria Suite 22
Humacao, PR 00971-4293

Mailing address

Correo Villa
Aa-2 Ave Tegas PMB 289
Humacao, PR 00791-4528

National Provider Directory

National Provider Directory

Locations

12 Calle Victoria
Ste 22
Humacao, PR 00791
Phone (787) 266-9151

Practitioners & affiliated clinicians

Practitioners 1

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": "1667952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718150400000",
    "number": "1639887581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CORREO VILLA",
            "address_2": "AA-2 AVE TEGAS PMB 289",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "007914528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "LEGACY MEDICAL CENTER",
            "address_2": "12 CALLE VICTORIA SUITE 22",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "009714293",
            "telephone_number": "787-266-9151",
            "fax_number": "787-520-7419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPASS IMMUNO ONCOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-09",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A",
        "authorized_official_last_name": "GRAYBILL",
        "authorized_official_first_name": "CHELSIE",
        "authorized_official_title_or_position": "ADMINISTRATIVE",
        "authorized_official_telephone_number": "787-424-9888"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QX0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Humacao, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.