San Cristobal Oncology Services Inc

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

License

18-050 Issued in PR

Legal business name

SAN CRISTOBAL ONCOLOGY SERVICES INC

Practice address

1000 Tito Castro Blvd
Ponce, PR 00716

Phone

(787) 648-5057

NPI assigned

May 15, 2018

Organization subpart

No

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

Authorized official

Name

Mrs. Haedie Jamille Ramos

Title

Billing Director

Phone

(787) 848-2100

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PR2 enrollments

Enrollment records 2

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

{
    "created_epoch": "1526342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526342400000",
    "number": "1760972756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 801211",
            "city": "COTO LAUREL",
            "state": "PR",
            "postal_code": "007801211",
            "telephone_number": "787-648-5057",
            "fax_number": "787-848-1110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 TITO CASTRO BLVD",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00716",
            "telephone_number": "787-648-5057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN CRISTOBAL ONCOLOGY SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-15",
        "last_updated": "2018-05-15",
        "status": "A",
        "authorized_official_last_name": "RAMOS",
        "authorized_official_first_name": "HAEDIE",
        "authorized_official_middle_name": "JAMILLE",
        "authorized_official_title_or_position": "BILLING DIRECTOR",
        "authorized_official_telephone_number": "787-848-2100",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": "PR",
            "license": "18-050",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PR",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fernando Jose Salinas
• Nora Lucia Salls-Soto
• Karla Marie Sambolin-Sierra
• Judith Samuel, RPH,PHARMD
• Maverick San Antonio, MS
• San Juan Capestrano Hospital, Inc.
• San Juan Vamc
• San Juan Vamc
• Sheilymar Lyann Sanabria Rivera
• Karen Sanabria

• Radiation Oncology Physician in Ponce, PR
• Providers in Ponce, PR by specialty
• Radiation Oncology Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 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.