Active NPI
South Cancer Center
- Oncology Clinic/Center
- Ponce, PR
National Provider Identifier
1992073233
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oncology Clinic/Center
- Legal business name
- SOUTH CANCER CENTER
- Practice address
- Torre Med San Lucas
5To Piso Oficina 508
Ponce, PR 00716-4728 - Phone
- (787) 651-6010
- Fax
- (787) 651-6309
- NPI assigned
- Dec 1, 2011
- 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. Jorge I Rodriguez Lugo, MD
- Title
- President
- Phone
- (787) 651-6010
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | 14399 | PR | |
| Oncology Clinic/Center | 261QX0200X | Primary |
Addresses
Primary practice location
Torre Med San Lucas
5To Piso Oficina 508
Ponce, PR 00716-4728
Mailing address
609 Ave Tito Castro
Suite 102 PMB 464
Ponce, PR 00716
Phone (787) 651-6010
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14399 | Other | PR | LICENSE NUMBER |
National Provider Directory
National Provider DirectoryLocations
917 Ave Tito Castro
Ste 508509
Ponce, PR 00716
Phone (787) 651-6010
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1322697600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1464652800000",
"number": "1992073233",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "609 AVE TITO CASTRO",
"address_2": "SUITE 102 PMB 464",
"city": "PONCE",
"state": "PR",
"postal_code": "00716",
"telephone_number": "787-651-6010",
"fax_number": "787-651-6309"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "TORRE MED SAN LUCAS",
"address_2": "5TO PISO OFICINA 508",
"city": "PONCE",
"state": "PR",
"postal_code": "007164728",
"telephone_number": "787-651-6010",
"fax_number": "787-651-6309"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTH CANCER CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2011-12-01",
"last_updated": "2016-05-31",
"status": "A",
"authorized_official_last_name": "RODRIGUEZ LUGO",
"authorized_official_first_name": "JORGE",
"authorized_official_middle_name": "I",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "787-651-6010",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": "PR",
"license": "14399",
"primary": false
},
{
"code": "261QX0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Oncology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "14399",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ponce, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.