Organization Active NPI

Northern Radiotherapy Cancer Center, P.S.C.

  • Radiation Therapy Radiologic Technologist
  • Arecibo, PR
National Provider Identifier
1861525115
Registry record updated Oct 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Therapy Radiologic TechnologistTaxonomy code 2471R0002X
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

Updated by the provider on Oct 14, 2008

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)CodeLicenseStatePrimary
Radiation Therapy Radiologic TechnologistGroup: 193200000X MULTI-SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
O20090213000269 PR Part B Supplier - Clinic/Group Practice 7618032277 Receives reassigned benefits from 1 practitioner
Practice locations: Arecibo, PR

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.