Organization Active NPI

Instituto del Cancer Y Enfermedades de la Sangre, CSP

  • Hematology & Oncology Physician
  • Arecibo, PR
National Provider Identifier
1891990123
Registry record updated Aug 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
10600 Issued in PR
Legal business name
INSTITUTO DEL CANCER Y ENFERMEDADES DE LA SANGRE, CSP
Practice address
53 Calle Andres Garcia
Urb Garcia
Arecibo, PR 00612-4335
Phone
(787) 817-4973
Fax
(787) 817-4997
NPI assigned
Jun 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2007

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

Authorized official

Name
Dr. Justiniano Castro
Title
President
Phone
(787) 817-4973

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RH0003X 10600 PR Primary

Addresses

Primary practice location

53 Calle Andres Garcia
Urb Garcia
Arecibo, PR 00612-4335

Mailing address

425 Carr 693
PMB 371
Dorado, PR 00646-4802
Phone (787) 817-4973

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070830000253 PR Part B Supplier - Clinic/Group Practice 0840383238 Receives reassigned benefits from 3 practitioners
Practice locations: Arecibo, PR

National Provider Directory

National Provider Directory
Tax ID family
Instituto del Cancer Y Enfermedades de la Sangre CSP2 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.

Practitioners & affiliated clinicians

Practitioners 3

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": "1182124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188518400000",
    "number": "1891990123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 CARR 693",
            "address_2": "PMB 371",
            "city": "DORADO",
            "state": "PR",
            "postal_code": "006464802",
            "telephone_number": "787-817-4973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 CALLE ANDRES GARCIA",
            "address_2": "URB GARCIA",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006124335",
            "telephone_number": "787-817-4973",
            "fax_number": "787-817-4997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSTITUTO DEL CANCER Y ENFERMEDADES DE LA SANGRE, CSP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-18",
        "last_updated": "2007-08-31",
        "status": "A",
        "authorized_official_last_name": "CASTRO",
        "authorized_official_first_name": "JUSTINIANO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-817-4973",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "PR",
            "license": "10600",
            "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 Aug 31, 2007; 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.