SOUTH CANCER GROUP PSC (NPI# 1700361961) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700361961 |
| Entity Type | Organization |
| Organization Name | SOUTH CANCER GROUP PSC |
| Practice Address |
917 Ave Tito Castro Torre Medica San Lucas Suite 508 Ponce PR 00716 |
| Mailing Address |
609 Ave Tito Castro Suite 102 Pmb 464 Ponce PR 00716 |
| Practice Telephone | 7876516010 |
| Practice Fax Number | 7876516309 |
| Mailing Telephone | 7876516010 |
| Mailing Fax Number | 7876516309 |
| Enumeration Date | 2018-10-03 |
| Last Update Date | 2018-10-03 |
| Authorized Official Name | DR. JORGE I RODRIGUEZ LUGO (PRESIDENT) |
| Authorized Official Telephone | 7876516010 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
Allopathic & Osteopathic Physicians | ||
| N | 261QI0500X |
Clinic/Center Specialization: Infusion Therapy |
Ambulatory Health Care Facilities | ||
| N | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities | ||
| Y | 261QX0200X |
Clinic/Center Specialization: Oncology |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PR | STATE LICENSE | 14399 | 01 |
| Street Address |
917 AVE TITO CASTRO TORRE MEDICA SAN LUCAS SUITE 508 |
| City | PONCE |
| State | PR |
| Zip Code | 00716 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841295557 | Saint Lukes Memorial Hospital Inc | Psychiatric Unit | 917 Ave Tito Castro, Ponce, PR 00716-4717 | 2005-06-17 |
| 1619585510 | Kristopher Alexander Perez | Student in an Organized Health Care Education/Training Program | 917 Ave Tito Castro, Ponce, PR 00716-4717 | 2020-07-16 |
| 1902424112 | Guillermo Negrete Arriaga | Student in an Organized Health Care Education/Training Program | 917 Ave Tito Castro, Ponce, PR 00716-4717 | 2020-07-14 |
| 1215554381 | Jamie Alexsander Rosado-alicea | Student in an Organized Health Care Education/Training Program | 917 Ave Tito Castro, Ponce, PR 00716-4717 | 2020-07-06 |
| 1396367934 | Pedro Rivera | Student in an Organized Health Care Education/Training Program | 917 Ave Tito Castro, Ponce, PR 00716-4717 | 2020-05-16 |
| 1902427503 | Guillermo Tirado | Student in an Organized Health Care Education/Training Program | 917 Ave Tito Castro, Ponce, PR 00716-4717 | 2020-05-05 |
| 1356961924 | Tatiana Nunez | Student in an Organized Health Care Education/Training Program | 917 Ave Tito Castro, Ponce, PR 00716-4717 | 2020-04-23 |
| 1083233522 | Victor Leandro Guzman Rivera | Student in an Organized Health Care Education/Training Program | 917 Ave Tito Castro, Ponce, PR 00716-4717 | 2020-04-14 |
| 1336783968 | Andres Alberto Aviles | Student in an Organized Health Care Education/Training Program | 917 Ave Tito Castro, Ponce, PR 00716-4717 | 2019-11-06 |
| 1558903187 | Andrew Jacob Engel-rodriguez | Student in an Organized Health Care Education/Training Program | 917 Ave Tito Castro, Ponce, PR 00716-4717 | 2019-10-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275148041 | Amanda Ivette Orta Colon | General Practice | Los Caobos C/guayacan #1691, Ponce, PR 00716 | 2020-09-09 |
| 1568074052 | Isabel Victoria Vazquez Morales | Student in an Organized Health Care Education/Training Program | 388 Zona Industrial Rapada 2, Ponce, PR 00716 | 2020-08-18 |
| 1629687199 | Maria Elena Carvajal Mock | Student in an Organized Health Care Education/Training Program | La Alhambra, Calle Lindaraja 2609, Ponce, PR 00716 | 2020-07-30 |
| 1518576651 | Gabriel Domingo Palmieri Lagares | Student in an Organized Health Care Education/Training Program | Villa Del Carmen Ave Constancia 4406, Ponce, PR 00716 | 2020-07-24 |
| 1417565151 | Jose Rafael Pascual | Student in an Organized Health Care Education/Training Program | Phsu,388 Zona Industrial Reparada 2,ponce,pr 00716, Ponce, PR 00716 | 2020-07-20 |
| 1790302412 | Isha Marie Valerio Martinez | Social Worker | Urb Villa Del Carmen Ave Constancia, 4407, Ponce, PR 00716 | 2020-06-29 |
| 1619592011 | Luz Jeilin Morales Cruz | Psychologist | Urb Inductrial Reparada #291, Ponce, PR 00716 | 2020-06-11 |
| 1609491208 | Hogar Las Aguilas Incorporado | Custodial Care Facility | La Rambla Office Park, 621 Carr 14 Calle Marginal, Ponce, PR 00716 | 2020-06-10 |
| 1841813607 | Special Tactics and Rescue Services Corp | Case Management | 6020 Amalia Marin, Trucha, Ponce, PR 00716 | 2020-05-27 |
| 1629691274 | Heidi Ann Negron | Registered Nurse | Parcelas Sabanetas 25 Julio, 132, Ponce, PR 00716 | 2020-05-18 |
| Find all providers in zip 00716 | ||||
| Taxonomy Code | 261QX0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Oncology |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment and prescriptive services related to cancerous conditions. Services include chemotherapy infusions and monitoring of implanted chemotherapeutic agents. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174954481 | Centro Oncologico De La Mujer De Puerto Rico Csp | Clinic/Center | 1378 Calle Salud, Ponce, PR 00717-2004 | 2013-12-12 |
| 1811419575 | Caribbean Wellness Oncology, Psc | Clinic/Center | 1378 Calle Salud, Ponce, PR 00717-2004 | 2017-07-13 |
| 1942656350 | Maralec,csp | Clinic/Center | 35 Calle Castillo, Ponce, PR 00730-3747 | 2016-05-05 |
| 1881070704 | Ramirez Gynecology & Gynecologic Oncology P.s.c. | Clinic/Center | 2225 Ponce Byp, Suite 606, Ponce, PR 00717-1321 | 2015-08-03 |
| 1306139993 | Caribbean Cancer Care | Clinic/Center | 2225 Ponce By Pass, Edificio Parra Suite 101, Ponce, PR 00717 | 2011-05-16 |
| 1962727370 | Quimio Ambdrv Serv. Med, C.s.p. | Clinic/Center | 2431 Ave Las Americas, Suite 105 Edif. Porrata Pila, Ponce, PR 00717-2113 | 2010-03-30 |
| 1619141967 | Ponce Hematology Oncology P.s.c. | Clinic/Center | 1217 Ave Hostos, Ponce, PR 00717-0953 | 2008-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447629100 | Nohse | Clinic/Center | 1-23 Ave Principal, Urb Baralt Suite 1, Fajardo, PR 00738 | 2015-09-23 |
| 1063804680 | Centro Oncologico De Cayey L.L.C. | Clinic/Center | Hc 73 Box 6440, Cayey, PR 00736-9529 | 2015-02-19 |
| 1548691579 | Recinto De Ciencias Medicas | Clinic/Center | Avenida Americo Miranda Centro Comercial, Reparto Metropolitano, Rio Piedras, PR 00929-0134 | 2013-12-02 |
| 1528492113 | Hematology & Oncology Medical Service PCs | Clinic/Center | Carr 14interior K 03 Barrio Rincon Sector Lomas, 308, Cayey, PR 00737-2800 | 2013-08-30 |
| 1821436312 | Servicios De Hematologia Y Oncologia Del Este, C.s.p. | Clinic/Center | Ave General Valero 410 Torre Medica San Pablo, Suite205, Fajardo, PR 00738 | 2013-06-06 |
| 1669815254 | Trust Medical and Oncology Center Psc | Clinic/Center | 4pn4 Via Josefina, Villa Fontana, Carolina, PR 00983-4828 | 2013-04-12 |
| 1578843652 | Centro Hematologico Y Oncologico Primavera P.s.c. | Clinic/Center | 172 Street Km 1.0, Centro De Salud Familiar Cidra, Cidra, PR 00739-3030 | 2011-08-22 |
| 1205122801 | Oncology Health Alliance Gr, P.s.c. | Clinic/Center | Carr. 14 Km 0.3, Hosp. Menonita Cayey - Ofic. Ctro Medico Nuclear, Cayey, PR 00736-0000 | 2011-06-22 |
| 1124323399 | Hematology Oncology Health Services, PC | Clinic/Center | 735 Ave Ponce De Leon Ste 701, San Juan, PR 00917-5029 | 2011-01-20 |
| 1629205018 | Centro De Tratamiento De Cancer Del Hosp Del Maestro, Psc | Clinic/Center | Hospital Del Maestro, Suite 202, Ave. Domenech, Hato Rey, PR 00918 | 2009-06-12 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.