Organization Active NPI

Cancer Center of the Caribbean, LLC

  • Hematology & Oncology Physician
  • San Juan, PR
National Provider Identifier
1750780466
Registry record updated Aug 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
Legal business name
CANCER CENTER OF THE CARIBBEAN, LLC
Practice address
420 Ponce de Leon Edif Midtown
Suite 805
San Juan, PR 00919-0000
Phone
(787) 919-7690
Fax
(787) 919-7694
NPI assigned
Aug 19, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2014

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

Authorized official

Name
Dr. Maria Eloisa Perez, M.D.
Title
President
Phone
(787) 934-1838

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RH0003X Primary

Addresses

Primary practice location

420 Ponce de Leon Edif Midtown
Suite 805
San Juan, PR 00919-0000

Mailing address

PO Box 8520
San Juan, PR 00910-0520
Phone (787) 562-5168

Other identifiers 1

IdentifierTypeStateIssuer
340921OtherPRREGISTRATION

Other names 1

  • Cancer Center of the Caribbean, LLC Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Cancer Center of the Caribbean2 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

420 Ave Ponce de Leon
Ste 805
San Juan, PR 00918
Phone (787) 919-7690

Practitioners & affiliated clinicians

Practitioners 2

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": "1408406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408406400000",
    "number": "1750780466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8520",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009100520",
            "telephone_number": "787-562-5168",
            "fax_number": "787-722-9030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 PONCE DE LEON EDIF MIDTOWN",
            "address_2": "SUITE 805",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009190000",
            "telephone_number": "787-919-7690",
            "fax_number": "787-919-7694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANCER CENTER OF THE CARIBBEAN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-19",
        "last_updated": "2014-08-19",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "ELOISA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-934-1838",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTRATION",
            "identifier": "340921",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cancer Center of the Caribbean, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.