Organization Active NPI

Trust Medical and Oncology Center PSC

  • Oncology Clinic/Center
  • Carolina, PR
National Provider Identifier
1669815254
Registry record updated Sep 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oncology Clinic/CenterTaxonomy code 261QX0200X
License
13091 Issued in PR
Legal business name
TRUST MEDICAL AND ONCOLOGY CENTER PSC
Practice address
4PN4 Via Josefina
Villa Fontana
Carolina, PR 00983-4828
Phone
(787) 633-0017
Fax
(787) 710-9886
NPI assigned
Apr 12, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2014

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

Authorized official

Name
Dr. Alvaro A. Talavera, MDNPI 1811985427
Title
MD
Phone
(787) 633-0017

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oncology Clinic/Center 261QX0200X 13091 PR Primary

Addresses

Primary practice location

4PN4 Via Josefina
Villa Fontana
Carolina, PR 00983-4828

Mailing address

PO Box 363305
San Juan, PR 00936-3305
Phone (787) 633-0017

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140514002014 PR Part B Supplier - Clinic/Group Practice 8527281898 Receives reassigned benefits from 1 practitioner
Practice locations: Carolina, PR

National Provider Directory

National Provider Directory

Locations

4PN4 Via Josefina
Carolina, PR 00983
Phone (787) 633-0017

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": "1365724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410912000000",
    "number": "1669815254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 363305",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009363305",
            "telephone_number": "787-633-0017",
            "fax_number": "787-710-9886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4PN4 VIA JOSEFINA",
            "address_2": "VILLA FONTANA",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009834828",
            "telephone_number": "787-633-0017",
            "fax_number": "787-710-9886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRUST MEDICAL AND ONCOLOGY CENTER PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-12",
        "last_updated": "2014-09-17",
        "status": "A",
        "authorized_official_last_name": "TALAVERA",
        "authorized_official_first_name": "ALVARO",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "787-633-0017",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QX0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oncology",
            "state": "PR",
            "license": "13091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carolina, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2014; 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.