Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Organization
BREAST CANCER CARE, CSP
Active
Organization
BREAST CANCER CARE, CSP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JORGE I RODRIGUEZ LUGO MD (PRESIDENT)
(787) 651-6010
Entity
Organization
Contact information
Practice address
TORRE MED SAN LUCAS, , SUITES 508-509, PONCE, PR 00716-4728
(787) 651-6010
(787) 651-6309
Mailing address
609 AVE TITO CASTRO, SUITE 102 PMB 464, PONCE, PR 00716-0200
(787) 651-6010
(787) 651-6309
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
—
—
261QI0500X
Infusion Therapy Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
14399
PR
261QX0200X
Oncology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14399
MEDICAL LICENSE
PR
Enumeration date
04/19/2013
Last updated
01/23/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up