Advanced Hematology and Oncology of Puerto Rico
Organization Active NPI Hematology & Oncology Physician · Caguas, PR
NPI 1740313782 · NPPES record last updated Jun 9, 2008
Key facts
- NPI
- 1740313782
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Hematology & Oncology Physician 207RH0003X
- License
- 12477 (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
- Organization subpart
- No
Authorized official
- Name
- Dr. Edgardo Joseph Rodriguez, MD
- Title
- Presidente
- Phone
- (787) 744-8686
Corporate family (same tax ID) 1
Practitioners 9
-
Maribel Cotto, M.D.
-
Evelyn M Fonseca Rivera, M.D.
-
Edgar G Miranda, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20081211000712 | PR | Part B Supplier - Clinic/Group Practice | 7911068796 |
Receives reassigned benefits from 8 practitioners Practice locations: Caguas, PR |
National Provider Directory
- Tax ID family
- Advanced Hematology and Oncology Group of PR
Locations
100 Ave Luis Munoz Marin
Fl G
Caguas, PR 00725
500 Ave Degetau
Ste 515
Caguas, PR 00725
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician |
207RH0003X | 12477 | PR | Yes |
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
Other providers in Caguas, PR
- Advance Life Support
- Advance Wound Care Clinic Inc
- Advanced Heart and Vascular Center LLC
- Advanced Heart Failure of PR LLC
- Advanced Hematology and Oncology Group of PR
- Advanced Imaging and Vascular Center
- Advanced Interventional Cardiology of PR LLC
- Advanced Medical Clinic Inc
- Advanced Neurology Center of PR
- Advanced Orthopedics Sipply
All providers in Caguas, PR · Hematology & Oncology Physician in Puerto Rico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 9, 2008. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.