Instituto de Radioterapia Avanzada del Este, PSC

Primary specialty

Radiation Oncology Clinic/CenterTaxonomy code 261QX0203X

License

010236 Issued in PR

Legal business name

INSTITUTO DE RADIOTERAPIA AVANZADA DEL ESTE, PSC

Practice address

55 Calle Antonio Lopez S
Humacao, PR 00791-4202

Phone

(787) 719-2300

Fax

(787) 719-2317

NPI assigned

Mar 21, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Roberto Antonio Rentas, M.H.S.A.

Title

Administrator

Phone

(787) 719-2300

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Locations

Practitioners 5

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

• Carlos Remedios-Carbone, M.D.

  • Radiation Oncology Physician
  • Ponce, PR
  • NPI 1164596771
  Medicare reassignment NPD
• Joshua Louis Rodriguez-Lopez, M.D.

  • Radiation Oncology Physician
  • San Juan, PR
  • NPI 1114473097
  Medicare reassignment NPD
• Roberto Jose Santiago Mendez, M.D

  • Radiation Oncology Physician
  • Bayamon, PR
  • NPI 1710025762

  Diagnostic Radiology

  Medicare reassignment NPD
• Pedro I. Bustillo, M.D.

  • Radiation Oncology Physician
  • Miami, FL
  • NPI 1386693679

  PR

  Medicare reassignment NPD
• Miguel Serpa Perez

  • Nuclear Cardiology Physician
  • Cotto Laurel, PR
  • NPI 1033190426
  Medicare reassignment

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

{
    "created_epoch": "1332288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332288000000",
    "number": "1962777052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 CALLE ANTONIO LOPEZ S",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "007914202",
            "telephone_number": "787-719-2300",
            "fax_number": "787-719-2317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 CALLE ANTONIO LOPEZ S",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "007914202",
            "telephone_number": "787-719-2300",
            "fax_number": "787-719-2317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSTITUTO DE RADIOTERAPIA AVANZADA DEL ESTE, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-21",
        "last_updated": "2012-03-21",
        "status": "A",
        "authorized_official_last_name": "RENTAS",
        "authorized_official_first_name": "ROBERTO",
        "authorized_official_middle_name": "ANTONIO",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "787-719-2300",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.H.S.A."
    },
    "taxonomies": [
        {
            "code": "261QX0203X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oncology, Radiation",
            "state": "PR",
            "license": "010236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Inaya Psychiatric Medical Group, P.S.C.
• Inspira Behavioral Care Corp.
• Inspira Behavioral Care Corp.
• Inspira Psychiatric Services PSC
• Instituto de Gastroenterologia de Humacao
• Instituto de Radioterapia del Este, PSC
• Instituto Ortopedico Laboral, CSP
• Integrate Community Health System
• Integrate Community Health System
• Integrate Community Health System

• Radiation Oncology Clinic/Center in Humacao, PR
• Providers in Humacao, PR by specialty
• Radiation Oncology Clinic/Center in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2012; 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.