# INSTITUTO DE HEMATOLOGIA Y ONCOLOGIA DEL TURABO

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- **Entity:** Organization
- **Status:** Active
- **Other names:** EVELYN FONSECA, MD
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326160227
- **Authorized official:** DR. EVELYN MARIE FONSECA M.D. (OWNER)
- **Authorized official phone:** (787) 258-5858

## Contact information

- **Practice address:** SAN JUAN BAUTISTA MEDICAL CENTER, RD. 172, URB. TURABO GARDENS, CAGUAS, PR 00725-0000
- **Practice address phone:** (787) 258-5858
- **Practice address fax:** (787) 258-5858
- **Mailing address:** PMB 331, PO BOX 4961, CAGUAS, PR 00726-4961
- **Mailing address phone:** (787) 258-5858
- **Mailing address fax:** (787) 258-5858

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 9601 | PR | Yes |

## Other

- **Enumeration date:** 04/04/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 82480 | TRIPLE-S | PR |