Active NPI
Northern Radiotherapy Cancer Center, P.S.C.
- Radiation Therapy Radiologic Technologist
- Arecibo, PR
National Provider Identifier
1861525115
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Therapy Radiologic Technologist
- Legal business name
- NORTHERN RADIOTHERAPY CANCER CENTER, P.S.C.
- Practice address
- Ave San Luis #750 Bo. Hato Arriba
PR 129 KM 0.9
Arecibo, PR 00612-0000 - Phone
- (787) 650-6070
- Fax
- (787) 834-5535
- NPI assigned
- Mar 14, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Enid L Crespo
- Title
- Billing Supervision
- Phone
- (787) 834-6070
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Therapy Radiologic Technologist | 2471R0002X | Primary |
Addresses
Primary practice location
Ave San Luis #750 Bo. Hato Arriba
PR 129 KM 0.9
Arecibo, PR 00612-0000
Mailing address
PO Box 8043
Marina Station
Mayaguez, PR 00681-8043
Phone (787) 650-6070
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
750 Ave San Luis
Arecibo, PR 00612
Phone (787) 650-6070
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Radiation Oncology Physician
- Arecibo, PR
- NPI 1326081563
Radiation Therapy
-
- Adult Medicine Physician
- Mayaguez, PR
- NPI 1013945286
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173830400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1223942400000",
"number": "1861525115",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8043",
"address_2": "MARINA STATION",
"city": "MAYAGUEZ",
"state": "PR",
"postal_code": "006818043",
"telephone_number": "787-650-6070",
"fax_number": "787-834-5535"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "AVE SAN LUIS #750 BO. HATO ARRIBA",
"address_2": "PR 129 KM 0.9",
"city": "ARECIBO",
"state": "PR",
"postal_code": "006120000",
"telephone_number": "787-650-6070",
"fax_number": "787-834-5535"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTHERN RADIOTHERAPY CANCER CENTER, P.S.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-14",
"last_updated": "2008-10-14",
"status": "A",
"authorized_official_last_name": "CRESPO",
"authorized_official_first_name": "ENID",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "BILLING SUPERVISION",
"authorized_official_telephone_number": "787-834-6070",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "2471R0002X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiologic Technologist, Radiation Therapy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Arecibo, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2008; 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.