NPIMap

Organization Active NPI

Jose a Cebollero Marcucci - Surgical Oncology PSC

  • Surgical Oncology Physician
  • Guayama, PR
National Provider Identifier
1720069925
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Oncology PhysicianTaxonomy code 2086X0206X
License
9035 Issued in PR
Legal business name
JOSE A CEBOLLERO MARCUCCI - SURGICAL ONCOLOGY PSC
Practice address
Hospital Episcopal Cristo Redentor
Suite 101
Guayama, PR 00785
Phone
(787) 866-7409
Fax
(787) 886-7409
NPI assigned
Nov 7, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Mr. Jose A Cebollero Marcucci, MDNPI 1346436607
Title
President
Phone
(787) 866-7409

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208600000X 9035 PR
Surgical Oncology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2086X0206X 9035 PR Primary

Addresses

Primary practice location

Hospital Episcopal Cristo Redentor
Suite 101
Guayama, PR 00785

Mailing address

PO Box 2039
Guayama, PR 00785-2039
Phone (787) 866-7409

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090602000545 PR Part B Supplier - Clinic/Group Practice 5395895916 Receives reassigned benefits from 1 practitioner
Practice locations: Ponce, PR; Humacao, PR; Guayama, PR; Coto Laurel, PR; Cotto Laurel, PR; Aibonito, PR; Cayey, PR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1131321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1720069925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2039",
            "city": "GUAYAMA",
            "state": "PR",
            "postal_code": "007852039",
            "telephone_number": "787-866-7409",
            "fax_number": "787-886-7409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HOSPITAL EPISCOPAL CRISTO REDENTOR",
            "address_2": "SUITE 101",
            "city": "GUAYAMA",
            "state": "PR",
            "postal_code": "00785",
            "telephone_number": "787-866-7409",
            "fax_number": "787-886-7409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSE A CEBOLLERO MARCUCCI - SURGICAL ONCOLOGY PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-07",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "CEBOLLERO MARCUCCI",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-866-7409",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "PR",
            "license": "9035",
            "primary": false
        },
        {
            "code": "2086X0206X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery, Surgical Oncology",
            "state": "PR",
            "license": "9035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guayama, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.