Organization Active NPI

New Horizons Hematology & Oncology Group PSC

  • Hematology & Oncology Physician
  • San Juan, PR
National Provider Identifier
1902352883
Registry record updated Aug 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
18342 Issued in PR
Legal business name
NEW HORIZONS HEMATOLOGY & ONCOLOGY GROUP PSC
Practice address
550 Calle Sergio Cuevas Bustamante
Hospital del Maestro Suite 2002
San Juan, PR 00918-2002
Phone
(787) 763-7365
NPI assigned
Aug 30, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2016

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

Authorized official

Name
Dr. Edgardo Santiago Guzman, M.D.
Title
President/Owner
Phone
(787) 380-9738

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RH0003X 18342 PR Primary
Infusion Therapy Clinic/Center 261QI0500X 18342 PR

Addresses

Primary practice location

550 Calle Sergio Cuevas Bustamante
Hospital del Maestro Suite 2002
San Juan, PR 00918-2002

Mailing address

100 Ave la Sierra
Apt. H-128
San Juan, PR 00926-4316

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170626002346 PR Part B Supplier - Clinic/Group Practice 4789953274 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
Practice locations: San Juan, PR

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
New Horizons Hematology Oncology Group PSC2 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 1

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": "1472515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472515200000",
    "number": "1902352883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 AVE LA SIERRA",
            "address_2": "APT. H-128",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009264316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 CALLE SERGIO CUEVAS BUSTAMANTE",
            "address_2": "HOSPITAL DEL MAESTRO SUITE 2002",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009182002",
            "telephone_number": "787-763-7365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW HORIZONS HEMATOLOGY & ONCOLOGY GROUP PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-30",
        "last_updated": "2016-08-30",
        "status": "A",
        "authorized_official_last_name": "SANTIAGO GUZMAN",
        "authorized_official_first_name": "EDGARDO",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "787-380-9738",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "PR",
            "license": "18342",
            "primary": true
        },
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": "PR",
            "license": "18342",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.