NPIMap

Organization Active NPI

Centro de Medicina Oncologica de Puerto Rico, CSP

  • Hematology & Oncology Physician
  • Vega Baja, PR
National Provider Identifier
1750872099
Registry record updated Jul 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
19067 Issued in PR
Legal business name
CENTRO DE MEDICINA ONCOLOGICA DE PUERTO RICO, CSP
Practice address
Carr 2 K 39.5
Hospital Wilma N Vazquez Oficina 108
Vega Baja, PR 00694
Phone
(787) 363-7652
NPI assigned
May 22, 2018
Last updated
Jul 6, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2018

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

Authorized official

Name
Dr. Solalba Bueno-Orengo, MDNPI 1780978346
Title
Ceo, President
Phone
(787) 314-1909

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
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X 19067 PR
Hematology & Oncology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RH0003X 19067 PR Primary

Addresses

Primary practice location

Carr 2 K 39.5
Hospital Wilma N Vazquez Oficina 108
Vega Baja, PR 00694

Mailing address

478 Camino de la Vega
Dorado, PR 00646-3639
Phone (787) 858-1635

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190222002023 PR Part B Supplier - Clinic/Group Practice 1557600327 Receives reassigned benefits from 1 practitioner
Practice locations: Vega Baja, PR; Manati, PR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 11

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": "1526947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530835200000",
    "number": "1750872099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "478 CAMINO DE LA VEGA",
            "city": "DORADO",
            "state": "PR",
            "postal_code": "006463639",
            "telephone_number": "787-858-1635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 2 K 39.5",
            "address_2": "HOSPITAL WILMA N VAZQUEZ OFICINA 108",
            "city": "VEGA BAJA",
            "state": "PR",
            "postal_code": "00694",
            "telephone_number": "787-363-7652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO DE MEDICINA ONCOLOGICA DE PUERTO RICO, CSP",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-22",
        "last_updated": "2018-07-06",
        "status": "A",
        "authorized_official_last_name": "BUENO-ORENGO",
        "authorized_official_first_name": "SOLALBA",
        "authorized_official_title_or_position": "CEO, PRESIDENT",
        "authorized_official_telephone_number": "787-314-1909",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "19067",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "PR",
            "license": "19067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vega Baja, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2018; 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.