Organization Active NPI

Doctor'S Center Hematology & Oncology Group, PSC

  • Radiation Oncology Clinic/Center
  • Manati, PR
National Provider Identifier
1982608618
Registry record updated Nov 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology Clinic/CenterTaxonomy code 261QX0203X
License
S.A. 766 Issued in PR
Legal business name
DOCTOR'S CENTER HEMATOLOGY & ONCOLOGY GROUP, PSC
Practice address
Carr 2
# KM47.7
Manati, PR 00674-5765
Phone
(787) 621-3400
Fax
(787) 621-3401
NPI assigned
Jun 10, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2007

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

Authorized official

Name
Mr. Cesar A Maldonado, MHMS
Title
Administrator
Phone
(787) 621-3400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Clinic/Center 261QX0203X S.A. 766 PR Primary

Addresses

Primary practice location

Carr 2
# KM47.7
Manati, PR 00674-5765

Mailing address

PMB #290
PO Box 30500
Manati, PR 00674
Phone (787) 621-3400

Other names 1

  • DOCTOR'S CANCER CENTER Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080118000011 PR Part B Supplier - Clinic/Group Practice 4789765587 Receives reassigned benefits from 6 practitioners
Practice locations: Arecibo, PR; Manati, PR

National Provider Directory

National Provider Directory
Tax ID family
Doctor'S Center 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.

Ownership & related parties

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.

Practitioners & affiliated clinicians

Practitioners 8

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": "1118361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196121600000",
    "number": "1982608618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PMB #290",
            "address_2": "PO BOX 30500",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "00674",
            "telephone_number": "787-621-3400",
            "fax_number": "787-621-3401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 2",
            "address_2": "# KM47.7",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "006745765",
            "telephone_number": "787-621-3400",
            "fax_number": "787-621-3401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCTOR'S CENTER HEMATOLOGY & ONCOLOGY GROUP, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-10",
        "last_updated": "2007-11-27",
        "status": "A",
        "authorized_official_last_name": "MALDONADO",
        "authorized_official_first_name": "CESAR",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "787-621-3400",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MHMS"
    },
    "taxonomies": [
        {
            "code": "261QX0203X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oncology, Radiation",
            "state": "PR",
            "license": "S.A. 766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DOCTOR'S CANCER CENTER",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Manati, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2007; 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.