Organization Active NPI

Western Hematology Oncology Group P.S.C

  • Specialist
  • San German, PR
National Provider Identifier
1902340177
Registry record updated Dec 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
11839 Issued in PR
Legal business name
WESTERN HEMATOLOGY ONCOLOGY GROUP P.S.C
Practice address
Calle Hernan Alvarez
Plaza Metropolitana Suite 206
San German, PR 00683
Phone
(787) 892-2540
Fax
(787) 892-2540
NPI assigned
Dec 7, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2016

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

Authorized official

Name
Dr. Wanda Casiano, M.D.
Title
Doctor
Phone
(787) 892-2540

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 11839 PR Primary

Addresses

Primary practice location

Calle Hernan Alvarez
Plaza Metropolitana Suite 206
San German, PR 00683

Mailing address

PO Box 5075
PMB 205
San German, PR 00683
Phone (787) 892-2540

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170822001318 PR Part B Supplier - Clinic/Group Practice 5193097491 Receives reassigned benefits from 2 practitioners
Practice locations: San German, PR

National Provider Directory

National Provider Directory

Locations

100 Calle Hernan Alvarez
Ste 206
San German, PR 00683
Phone (787) 892-2540

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": "1481068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481068800000",
    "number": "1902340177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5075",
            "address_2": "PMB 205",
            "city": "SAN GERMAN",
            "state": "PR",
            "postal_code": "00683",
            "telephone_number": "787-892-2540",
            "fax_number": "787-892-2540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE HERNAN ALVAREZ",
            "address_2": "PLAZA METROPOLITANA SUITE 206",
            "city": "SAN GERMAN",
            "state": "PR",
            "postal_code": "00683",
            "telephone_number": "787-892-2540",
            "fax_number": "787-892-2540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN HEMATOLOGY ONCOLOGY GROUP P.S.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-07",
        "last_updated": "2016-12-07",
        "status": "A",
        "authorized_official_last_name": "CASIANO",
        "authorized_official_first_name": "WANDA",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "787-892-2540",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "PR",
            "license": "11839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San German, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2016; 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.