Centro de Cancer de la Universidad
Organization Active NPI Specialist · San Juan, PR
NPI 1689836629 · NPPES record last updated Jul 9, 2022
Key facts
- NPI
- 1689836629
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Specialist 174400000X
- Legal business name
- CENTRO DE CANCER DE LA UNIVERSIDAD
- Practice address
- Paseo Jose Celso Barbosa
Centro de Radioterapia Cccupr
San Juan, PR 00927 - Phone
- (787) 200-3220
- NPI assigned
- Jul 1, 2008
- Organization subpart
- No
Authorized official
- Name
- Mr. Jorge Buzainz, MHSA
- Title
- Administrator
- Phone
- (787) 772-8300
Owned or controlled facilities with NPI records 1
Other NPIs with the same Medicare PAC ID 2
Corporate family (same tax ID) 2
Practitioners 23
-
Carlos M Chevere, M.D.
-
Julio J Diaz, M.D.
-
Rene Baez, M.D.
-
David E Blas-Boria, M.D.
-
Nicolas Lopez Acevedo, M.D.
-
Micael Lopez-Acevedo, M.D.
-
Yania M Lopez-Alvarez, M.D.
-
Patricia Pastor Perez, M.D.
-
Enrique A Sabater, M.D.
-
Luis Javier Santos Reyes, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PR
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| Hospital Centro Comprensivo del Cancer |
Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Aug 26, 2004 Aug 26, 2004 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160121001386 | PR | Part B Supplier - Radiation Therapy Center | 7113220385 |
Receives reassigned benefits from 5 practitioners Practice locations: San Juan, PR |
National Provider Directory
- Tax ID family
- Centro de Cancer de la Universidad
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist |
174400000X | Yes | ||
| Hematology & Oncology Physician |
207RH0003X | |||
| Infectious Disease Physician |
207RI0200X | |||
| Gynecologic Oncology Physician |
207VX0201X | |||
| Radiation Oncology Physician |
2085R0001X | |||
| Radiation Oncology Clinic/Center | 261QX0203X |
Addresses
Primary practice location
Paseo Jose Celso Barbosa
Centro de Radioterapia Cccupr
San Juan, PR 00927
Mailing address
PO Box 363027
San Juan, PR 00936-3027
Phone (787) 772-8300
Other names
- Comprehensive Cancer Center Radiotherapy
- Radioterapia Centro Comprensivo de Cancer
Other providers in San Juan, PR
- Centro de Alergia E Inmunologia LLC
- Centro de Apoyo Integrado Y Kinesiologia Energetica Inc
- Centro de Apoyo Para El Desarrollo Integral del Individuo Y la Familia
- Centro de Cancer de la Universidad
- Centro de Cancer de la Universidad
- Centro de Cardiologia Intervencional Y Periferovascular del Norte, PSC
- Centro de Cuidado Gineco Obstetrico
- Centro de Desarrollo Psico-Organizacional Y Psicoeducativo, Inc.
- Centro de Diabetes Para PR
- Centro de Diabetes Y Osteoporosis de PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2022. 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.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.