Sick Blood Med Serv CSP

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

17625 Issued in PR

Legal business name

SICK BLOOD MED SERV CSP

Practice address

369 Calle de Diego Ste 603-604
San Juan, PR 00923-3003

Phone

(787) 753-6022

Fax

(787) 753-6066

NPI assigned

Mar 4, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Pedro G Solivan Ortiz, MDNPI 1104010651

Title

President

Phone

(787) 771-7933

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Pedro Gil Solivan Ortiz, M.D.

  • Oncology Clinic/Center
  • Rio Piedras, PR
  • NPI 1104010651

  Hematology & Oncology

  Medicare reassignment NPD Authorized official
• Luis D Flores, M.D.

  • Hematology & Oncology Physician
  • San Juan, PR
  • NPI 1285608216
  NPD (past)
• Rebecca P Garcia Ortiz, M.D.

  • Hematology & Oncology Physician
  • San Juan, PR
  • NPI 1578687299
  NPD (past)
• Amarilys Mangual, M.D.

  • Hematology & Oncology Physician
  • Yauco, PR
  • NPI 1437263936
  NPD (past)
• Sixto Perez Garcia, MD

  • Hematology & Oncology Physician
  • San Juan, PR
  • NPI 1649240110
  NPD (past)
• Angel Roman, MD

  • Hematology & Oncology Physician
  • San Juan, PR
  • NPI 1922078310
  NPD (past)
• Eduardo Rafael Salguero-Villanueva, M.D.

  • General Practice Physician
  • Caguas, PR
  • NPI 1992080212
  NPD (past)

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

{
    "created_epoch": "1457049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579996800000",
    "number": "1821458704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "369 CALLE DE DIEGO STE 603-604",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009233003",
            "telephone_number": "787-753-6022",
            "fax_number": "787-753-6066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "369 CALLE DE DIEGO STE 603-604",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009233003",
            "telephone_number": "787-753-6022",
            "fax_number": "787-753-6066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SICK BLOOD MED SERV CSP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-04",
        "last_updated": "2020-01-26",
        "certification_date": "2020-01-26",
        "status": "A",
        "authorized_official_last_name": "SOLIVAN ORTIZ",
        "authorized_official_first_name": "PEDRO",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-771-7933",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "PR",
            "license": "17625",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LIC",
            "identifier": "17625",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• SHC Imagine Center
• SHC Mental & Health Care
• SHC Vaccination Center
• Leonel Shub, MD
• Dershawn Sibblies
• Yaina Sierra Cordova, MD
• Aslee Sierra Gonzalez
• Kassandra Sierra Martinez, M.D.
• Marielly Sierra Mercado, M.D.
• Irma Ilia Sierra Rivera, DC

• Hematology & Oncology Physician in San Juan, PR
• Providers in San Juan, PR by specialty
• Hematology & Oncology Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2020; 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.