# GRUPO RADIOTERAPIA DEL NORTE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104815737
- **Authorized official:** DR. CARLOS M. CHEVERE M.D. (PREDIDENT)
- **Authorized official phone:** (787) 621-0021

## Contact information

- **Practice address:** ROAD \#2 KM 47.7, MANAT, PR 00674
- **Practice address phone:** (787) 621-0021
- **Practice address fax:** (787) 621-0023
- **Mailing address:** PMB 298, PO BOX 30500, MANATI, PR 00674
- **Mailing address phone:** (787) 621-0021
- **Mailing address fax:** (787) 621-0023

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2471R0002X | Radiation Therapy Radiologic Technologist | — | NULL | Yes |
| 2471R0002X | Radiation Therapy Radiologic Technologist | — | — | Yes |

## Other

- **Enumeration date:** 10/17/2005
- **Last updated:** 12/04/2008