PR Cancer Specialists LLC

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

Legal business name

PR CANCER SPECIALISTS LLC

Practice address

735 Ave Ponce de Leon Ste 515
San Juan, PR 00917-5027

Phone

(787) 945-2919

NPI assigned

Jan 23, 2023

Organization subpart

No

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

Authorized official

Name

Luis Santos, MD

Title

President

Phone

(787) 945-2919

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Tax ID family

PR Cancer Specialists LLC2 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.

• PR Cancer Specialists LLC

  • Infusion Therapy Clinic/Center
  • San Juan, PR
  • NPI 1801501960
  NPD tax ID

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• PR Cancer Specialists LLC

  • Infusion Therapy Clinic/Center
  • San Juan, PR
  • NPI 1801501960
  NPPES parent name

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marvin Matta Rivera, M.D

  • Hematology & Oncology Physician
  • Caguas, PR
  • NPI 1629357488
  Medicare reassignment Care Compare group NPD
• Yelitza Ruiz, M.D.

  • Hematology & Oncology Physician
  • Bayamon, PR
  • NPI 1952412918
  Medicare reassignment Care Compare group NPD
• Aitsa Jimenez Velez, MD

  • Hematology & Oncology Physician
  • Caguas, PR
  • NPI 1891731675
  Medicare reassignment NPD
• Luis Javier Santos Reyes, M.D.

  • Gynecologic Oncology Physician
  • Hato Rey, PR
  • NPI 1972700730
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1674432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674432000000",
    "number": "1952016008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 362422",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009362422",
            "telephone_number": "787-945-2919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 AVE PONCE DE LEON STE 515",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009175027",
            "telephone_number": "787-945-2919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PR CANCER SPECIALISTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-23",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-23",
        "status": "A",
        "authorized_official_last_name": "SANTOS",
        "authorized_official_first_name": "LUIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-945-2919",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pprhi Limited Liability Company
• Pprmed LLC
• PR Anesthesiology and Pain Medicine LLC
• PR Biologics LLC
• PR Cancer Specialists LLC
• PR Cardiology Group PSC
• PR Dental Phoenix PSC
• PR Emergency Medicine & Critical Care LLC
• PR Endocrinology Care LLC
• PR Gi-Liver Associates PSC

• Hematology & Oncology Physician in San Juan, PR
• Providers in San Juan, PR by specialty
• Hematology & Oncology Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2023; 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.