Caribbean Cancer Care Services, LLC
Organization Active NPI Medical Oncology Physician · Ponce, PR
NPI 1679900567 · NPPES record last updated Dec 21, 2017
Key facts
- NPI
- 1679900567
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Medical Oncology Physician 207RX0202X
- Legal business name
- CARIBBEAN CANCER CARE SERVICES, LLC
- Practice address
- 2225 Ponce by Pass
Edificio Paua Suite 706
Ponce, PR 00717 - Phone
- (787) 284-4830
- Fax
- (787) 841-1149
- NPI assigned
- Oct 9, 2013
- Organization subpart
- No
Authorized official
- Name
- Rolando L Jimenez
- Title
- President
- Phone
- (787) 284-4830
Practitioners 9
-
Rolando L Jimenez, M.D.
-
Karen J Santiago Rios, M.D.
-
Jorge Fernando Vazquez, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150316001884 | PR | Part B Supplier - Clinic/Group Practice | 9032436878 |
Receives reassigned benefits from 9 practitioners Practice locations: Yauco, PR; San Sebastian, PR; San Juan, PR; San German, PR; Salinas, PR; Ponce, PR; Mayaguez, PR; Guayama, PR… |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician |
207RH0003X | |||
| Medical Oncology Physician |
207RX0202X | Yes | ||
| Oncology Clinic/Center | 261QX0200X |
Addresses
Primary practice location
2225 Ponce by Pass
Edificio Paua Suite 706
Ponce, PR 00717
Mailing address
2225 Ponce by Pass
Edificio Parra Suite 706
Ponce, PR 00717
Phone (787) 284-4830
Other providers in Ponce, PR
- Eric Javier Cardona
- Hector Flores Cardona
- Gabriel Lucas Cardoso Da Cruz
- Caribbean Cancer Care
- Caribbean Cancer Care Center, Inc.
- Caribbean Cancer Care Unlimited PSC
- Caribbean Cardio Health LLC
- Caribbean Electrophysiology Services PSC
- Caribbean Home Medical Equipment Corp
- Caribbean Home Medical Equipment Corp
All providers in Ponce, PR · Medical Oncology Physician in Puerto Rico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 21, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.