Individual provider Active NPI

Maria Victoria Garcia Pallas, M.D.

  • Hematology & Oncology Physician
  • Guaynabo, PR
National Provider Identifier
1720019912
Registry record updated Oct 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
15941 Issued in PR
Practice address
59 Calle Cerezo
Finca Elena
Guaynabo, PR 00971-4003
Phone
(787) 381-5858
Fax
(787) 961-4889
NPI assigned
Jul 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 15941 PR Primary

Addresses

Primary practice location

59 Calle Cerezo
Finca Elena
Guaynabo, PR 00971-4003

Mailing address

59 Calle Cerezo
Finca Elena
Guaynabo, PR 00971-4003
Phone (787) 381-5858

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
I20110301000500 PR Practitioner - Hematology/Oncology 6103007885 Reassigns benefits to 1 organization
Practice locations: Caguas, PR

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1 Hima Plaza
Suite 305
Caguas, PR 00725
Phone (939) 331-8107

Hospital & facility affiliations

  • Hospital Centro Comprensivo del Cancer Hospital, San Juan, PR, CCN 400135

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15941PRMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Recinto de Ciencias Medicas CurrentSince Aug 27, 2011 Accepting new patients
Recinto de Ciencias Medicas Current Accepting new patients
Recinto de Ciencias Medicas Hematology & Oncology CurrentSince Aug 27, 2011 Accepting new patients
Fersal PSC Past Accepting new patients
Santa Clara Hemaonco PSC Hematology & Oncology Past Accepting new patients

Locations

BO Monacillos Centro Med
San Juan, PR 00935
Phone (787) 763-2440

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413936000000",
    "number": "1720019912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 CALLE CEREZO",
            "address_2": "FINCA ELENA",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009714003",
            "telephone_number": "787-381-5858",
            "fax_number": "787-961-4889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 CALLE CEREZO",
            "address_2": "FINCA ELENA",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009714003",
            "telephone_number": "787-381-5858",
            "fax_number": "787-961-4889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA PALLAS",
        "first_name": "MARIA",
        "middle_name": "VICTORIA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-05",
        "last_updated": "2014-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "PR",
            "license": "15941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guaynabo, PR

Sources for this page

Verify at the official NPI Registry.