# CCM CAYEY, CSP.

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

## Provider details

- **NPI number:** 1215008644
- **Authorized official:** DR. NELSON ARIEL ROBLES-CARDONA MD (PRESIDENT)
- **Authorized official phone:** (787) 263-0411

## Contact information

- **Practice address:** EDIF PROFESIONAL MENONITA, SUITE 202, CAYEY, PR 00736-0000
- **Practice address phone:** (787) 263-0411
- **Practice address fax:** (787) 263-0970
- **Mailing address:** 1353 AVE LUIS VIGOREAUX, PMB 472, GUAYNABO, PR 00966-2715
- **Mailing address phone:** (787) 263-0411
- **Mailing address fax:** (787) 263-0970

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RH0003X | Hematology & Oncology Physician | — | NULL | Yes |
| 207RH0003X | Hematology & Oncology Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/09/2006
- **Last updated:** 06/23/2010