Organization Active NPI

Advanced Hematology and Oncology of Puerto Rico

  • Hematology & Oncology Physician
  • Caguas, PR
National Provider Identifier
1740313782
Registry record updated Jun 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
12477 Issued in PR
Legal business name
ADVANCED HEMATOLOGY AND ONCOLOGY OF PUERTO RICO
Practice address
Ave Luis Munoz Marin
Hima San Pablo Suite 907
Caguas, PR 00725
Phone
(787) 744-8686
Fax
(787) 258-1125
NPI assigned
Mar 13, 2007
Last updated
Jun 9, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2008

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

Authorized official

Name
Dr. Edgardo Joseph Rodriguez, MD
Title
Presidente
Phone
(787) 744-8686

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RH0003X 12477 PR Primary

Addresses

Primary practice location

Ave Luis Munoz Marin
Hima San Pablo Suite 907
Caguas, PR 00725

Mailing address

Luis Munoz Marin Ave
Hima San Pablo Suite 907
Caguas, PR 00725
Phone (787) 744-8686

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081211000712 PR Part B Supplier - Clinic/Group Practice 7911068796 Receives reassigned benefits from 8 practitioners
Practice locations: Caguas, PR

National Provider Directory

National Provider Directory
Tax ID family
Advanced Hematology and Oncology Group of PR2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

100 Ave Luis Munoz Marin
Fl G
Caguas, PR 00725

500 Ave Degetau
Ste 515
Caguas, PR 00725

Practitioners & affiliated clinicians

Practitioners 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212969600000",
    "number": "1740313782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "LUIS MUNOZ MARIN AVE",
            "address_2": "HIMA SAN PABLO SUITE 907",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00725",
            "telephone_number": "787-744-8686",
            "fax_number": "787-258-1125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE LUIS MUNOZ MARIN",
            "address_2": "HIMA SAN PABLO SUITE 907",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00725",
            "telephone_number": "787-744-8686",
            "fax_number": "787-258-1125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED HEMATOLOGY AND ONCOLOGY OF PUERTO RICO",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2008-06-09",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "EDGARDO",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENTE",
        "authorized_official_telephone_number": "787-744-8686",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "PR",
            "license": "12477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2008; 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.