Individual provider Active NPI

Francisco J Cordero-Gallardo, M.D

  • Radiation Oncology Physician
  • Bayamon, PR
National Provider Identifier
1689091779
Registry record updated Aug 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
21375 Issued in PR
Practice address
Ext. Hermanas Davila, Marginal PR #2
Edif. 1955 Suite G1
Bayamon, PR 00959
Phone
(787) 966-7500
Fax
(787) 966-7505
NPI assigned
Mar 26, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 21375 PR Primary

Addresses

Primary practice location

Ext. Hermanas Davila, Marginal PR #2
Edif. 1955 Suite G1
Bayamon, PR 00959

Mailing address

PO Box 1589
Bayamon, PR 00960-1589
Phone (787) 966-7500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191014000087 PR Practitioner - Radiation Oncology 6709197247 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
University Central del Caribe Escuela de Medicina, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Caribbean Imaging and Radiation Treatment Center IncGroup PAC ID 4486782307, 12 clinicians
Centro de Radioterapia Auxilio Mutuo IncGroup PAC ID 2365507068, 5 clinicians

Practice addresses (Care Compare)

2225 Parra by Pass
Ponce, PR 00717-1320
Phone (787) 842-2478

54 Calle Marginal
Guayama, PR 00784-4039
Phone (787) 686-0090

Ponce de Leon Ave
715 Stop 37.5
San Juan, PR 00918
Phone (787) 758-2000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Centro de Radioterapia Auxilio Mutuo, Inc. Radiation Oncology CurrentSince Sep 1, 2019 Accepting new patients
Precise Radiation Oncology Center PSC Radiation Oncology CurrentSince Aug 19, 2019 Accepting new patients
Caribbean Imaging and Radiation Treatment Center,Inc CurrentSince Aug 21, 2019 Accepting new patients
Precise Radiosurgery Solutions PSC Radiation Oncology CurrentSince Nov 12, 2023 Accepting new patients

Locations

2225 Ponce Byp
Ste 103
Ponce, PR 00717
Phone (787) 842-2478

715 Ave Ponce de Leon
Stop 375
San Juan, PR 00917
Phone 7877582000 ext. 3216

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1395792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566172800000",
    "number": "1689091779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1589",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009601589",
            "telephone_number": "787-966-7500",
            "fax_number": "787-966-7505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "EXT. HERMANAS DAVILA, MARGINAL PR #2",
            "address_2": "EDIF. 1955 SUITE G1",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00959",
            "telephone_number": "787-966-7500",
            "fax_number": "787-966-7505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORDERO-GALLARDO",
        "first_name": "FRANCISCO",
        "middle_name": "J",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-26",
        "last_updated": "2019-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "PR",
            "license": "21375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

Verify at the official NPI Registry.