Servicios de Hematologia Y Oncologia del Este, C.S.P.

Primary specialty

Oncology Clinic/CenterTaxonomy code 261QX0200X

License

13092 Issued in PR

Legal business name

SERVICIOS DE HEMATOLOGIA Y ONCOLOGIA DEL ESTE, C.S.P.

Practice address

Ave General Valero 410 Torre Medica San Pablo
Suite205
Fajardo, PR 00738

Phone

(787) 801-0505

Fax

(787) 801-0505

NPI assigned

Jun 6, 2013

Last updated

Dec 3, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Carlos M TejedaNPI 1366574725

Title

President

Phone

(787) 306-6352

Specialties & licenses 1

Addresses

Other names 1

• Servicios de Hematologia y Oncologia Del Este, C.S.P. Former legal business name

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Tax ID family

Servicios de Hematologia Y Oncologia del Este2 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.

• Servicios de Hematologia Y Oncologia del Este

  • Oncology Clinic/Center
  • Fajardo, PR
  • NPI 1831456425
  NPD tax ID

Locations

Practitioners 1

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.

• Carlos Manuel Tejeda, M.D.

  • Hematology & Oncology Physician
  • Fajardo, PR
  • NPI 1366574725
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1370476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449100800000",
    "number": "1821436312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3374",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009703374",
            "telephone_number": "787-801-0505",
            "fax_number": "787-801-0505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE GENERAL VALERO 410 TORRE MEDICA SAN PABLO",
            "address_2": "SUITE205",
            "city": "FAJARDO",
            "state": "PR",
            "postal_code": "00738",
            "telephone_number": "787-801-0505",
            "fax_number": "787-801-0505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERVICIOS DE HEMATOLOGIA Y ONCOLOGIA DEL ESTE, C.S.P.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-06",
        "last_updated": "2015-12-03",
        "status": "A",
        "authorized_official_last_name": "TEJEDA",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-306-6352"
    },
    "taxonomies": [
        {
            "code": "261QX0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oncology",
            "state": "PR",
            "license": "13092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Servicios de Hematologia y Oncologia Del Este, C.S.P.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Glorimar Santos, M.D.
• Pedro C Scorza, M.D
• Seccion a Ninos Con Necesidades Especiales
• Harry Jose Seijo
• Servicios de Hematologia Y Oncologia del Este
• Servicios de Salud En El Hogar-El Nazareno, Inc
• Servicios Fisiatricos del Este, PSC
• Servicios Ginecologicos
• Servicios Medicos del Noreste
• Servicios Medicos Integrados de Fajardo, P.S.C. (Noreste Home Care Services)

• Oncology Clinic/Center in Fajardo, PR
• Providers in Fajardo, PR by specialty
• Oncology Clinic/Center in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2015; 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.