NPIMap

Organization Active NPI

Grupo Oncologico Comunitario de San Juan PSC Medicos

  • Oncology Clinic/Center
  • San Juan, PR
National Provider Identifier
1982654513
Registry record updated Aug 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oncology Clinic/CenterTaxonomy code 261QX0200X
License
6263 Issued in PR
Legal business name
GRUPO ONCOLOGICO COMUNITARIO DE SAN JUAN PSC MEDICOS
Practice address
735 Ave Ponce de Leon
Torre Medica Auxlio Mutuo Suite 517
San Juan, PR 00917-5022
Phone
(787) 274-3387
Fax
(787) 374-3389
NPI assigned
May 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2015

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

Authorized official

Name
Dr. Luis Baez Diaz, MD
Title
President
Phone
(787) 274-3387

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RH0003X
Oncology Clinic/Center 261QX0200X 6263 PR Primary

Addresses

Primary practice location

735 Ave Ponce de Leon
Torre Medica Auxlio Mutuo Suite 517
San Juan, PR 00917-5022

Mailing address

735 Ave Ponce de Leon
Torre Medica Auxilio Mutuo Suite 517
San Juan, PR 00917-5022
Phone (787) 274-3387

National Provider Directory

National Provider Directory

Locations

735 Ave Ponce de Leon
Ste 212
San Juan, PR 00917
Phone (787) 274-3387

Practitioners & affiliated clinicians

Practitioners 4

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": "1147392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439337600000",
    "number": "1982654513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "735 AVE PONCE DE LEON",
            "address_2": "TORRE MEDICA AUXILIO MUTUO SUITE 517",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009175022",
            "telephone_number": "787-274-3387",
            "fax_number": "787-274-3389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 AVE PONCE DE LEON",
            "address_2": "TORRE MEDICA AUXLIO MUTUO SUITE 517",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009175022",
            "telephone_number": "787-274-3387",
            "fax_number": "787-374-3389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRUPO ONCOLOGICO COMUNITARIO DE SAN JUAN PSC MEDICOS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-12",
        "last_updated": "2015-08-12",
        "status": "A",
        "authorized_official_last_name": "BAEZ DIAZ",
        "authorized_official_first_name": "LUIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-274-3387",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QX0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oncology",
            "state": "PR",
            "license": "6263",
            "primary": true
        }
    ],
    "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 12, 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.

Verify at the official NPI Registry.