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Organization
HEMATOLOGY ONCOLOGY CARE GROUP LLC
Active
Organization
HEMATOLOGY ONCOLOGY CARE GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ALEXANDRA DEYA QUINQUILLA MD (OWNER)
(787) 410-2877
Entity
Organization
Contact information
Practice address
735 AVE PONCE DE LEON STE 416, SAN JUAN, PR 00917-5026
(787) 410-2877
Mailing address
735 AVE PONCE DE LEON STE 416, SAN JUAN, PR 00917-5026
(787) 410-2877
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RH0003X
Hematology & Oncology Physician
Primary
—
—
Other
Enumeration date
08/17/2022
Last updated
08/17/2022
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