Breast Cancer Care, CSP

Primary specialty

Oncology Clinic/CenterTaxonomy code 261QX0200X

Legal business name

BREAST CANCER CARE, CSP

Practice address

Torre Med San Lucas
, Suites 508-509
Ponce, PR 00716-4728

Phone

(787) 651-6010

Fax

(787) 651-6309

NPI assigned

Apr 19, 2013

Last updated

Jan 23, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jorge I Rodriguez Lugo, MDNPI 1215031547

Title

President

Phone

(787) 651-6010

Specialties & licenses 4

Addresses

Other identifiers 1

Locations

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.

• Jorge I. Rodriguez Lugo, MD

  • Hematology & Oncology Physician
  • Ponce, PR
  • NPI 1215031547
  Authorized official Same address or phone

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

{
    "created_epoch": "1366329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421971200000",
    "number": "1689018723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 AVE TITO CASTRO",
            "address_2": "SUITE 102 PMB 464",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007160200",
            "telephone_number": "787-651-6010",
            "fax_number": "787-651-6309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "TORRE MED SAN LUCAS",
            "address_2": ", SUITES 508-509",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007164728",
            "telephone_number": "787-651-6010",
            "fax_number": "787-651-6309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREAST CANCER CARE, CSP",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-19",
        "last_updated": "2015-01-23",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ LUGO",
        "authorized_official_first_name": "JORGE",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-651-6010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "PR",
            "license": "14399",
            "primary": false
        },
        {
            "code": "261QX0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oncology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "14399",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Luis Antonio Bracero Baumgartner, MD
• Valeria Dyal Bracero Torres
• Alessandro Francesco Bragetti, M.D.
• Raisa De la Caridad Brana Miranda, MD
• Alfredo Adolfo Bravo, M.D.
• Bright Smiles Dental Services DMD LLC
• Manuel A Brignoni Roman, MD
• Jose Miguel Brito Perez
• Rafael Antonio Brito
• Julianna Sophia Bruce Rivera

• Oncology Clinic/Center in Ponce, PR
• Providers in Ponce, PR by specialty
• Oncology Clinic/Center in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2015; 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.