Active NPI
Puerto Rico Oncology, PSC
- Oncology Clinic/Center
- Coto Laurel, PR
National Provider Identifier
1972979367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oncology Clinic/Center
- License
- 16901
- Legal business name
- PUERTO RICO ONCOLOGY, PSC
- Practice address
- Carr 506 Plaza San Cristobal Office Park Suite 202
Cotolaurel, PR 00780 - Phone
- (787) 479-2608
- Fax
- (787) 845-0806
- NPI assigned
- Aug 19, 2015
- Last updated
- Aug 19, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Nelson A Matos, MD
- Title
- President
- Phone
- (787) 479-2608
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infusion Therapy Clinic/Center | 261QI0500X | 16901 | PR | |
| Oncology Clinic/Center | 261QX0200X | 16901 | PR | Primary |
Addresses
Primary practice location
Carr 506 Plaza San Cristobal Office Park Suite 202
Cotolaurel, PR 00780
Mailing address
PO Box 801469
Coto Laurel, PR 00780-1469
Other names 1
- PUERTO RICO ONCOLOGY, PSC
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439942400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1439942400000",
"number": "1972979367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 801469",
"city": "COTO LAUREL",
"state": "PR",
"postal_code": "007801469"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARR 506 PLAZA SAN CRISTOBAL OFFICE PARK SUITE 202",
"city": "COTOLAUREL",
"state": "PR",
"postal_code": "00780",
"telephone_number": "787-479-2608",
"fax_number": "787-845-0806"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PUERTO RICO ONCOLOGY, PSC",
"organizational_subpart": "NO",
"enumeration_date": "2015-08-19",
"last_updated": "2015-08-19",
"status": "A",
"authorized_official_last_name": "MATOS",
"authorized_official_first_name": "NELSON",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "787-479-2608",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QI0500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Infusion Therapy",
"state": "PR",
"license": "16901",
"primary": false
},
{
"code": "261QX0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Oncology",
"state": "PR",
"license": "16901",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "PUERTO RICO ONCOLOGY, PSC",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Coto Laurel, PR
- Pediatric Children's Institute, LLC
- Lasmina Ladis Perea Arismendiz, M.D.
- Damarys Diaz Ponton
- Primary Health Center
- Psy Clinic LLC (Psy Clinic)
- Quality Health Services of Puerto Rico Inc (Hospital San Cristobal)
- Quality Medical Care Inc
- Wanda Ivelisse Quiles, MD
- Edwin Antonio Quintana Filippetti, RD
- Quintana Nutritional Services LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.