# PEDIATRICS AND HO BMT GROUP

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

## Provider details

- **NPI number:** 1366765117
- **Authorized official:** DR. JHON A GUERRA MD (PRESIDENT)
- **Authorized official phone:** (787) 645-5663

## Contact information

- **Practice address:** AVE DEGETAU, HIMA SAN PABLO HOSPITAL, CAGUAS, PR 00725-5819
- **Practice address phone:** (787) 653-3434
- **Mailing address:** 61 CALLE CEDRO, SABANERA DEL RIO, GURABO, PR 00778-2763
- **Mailing address phone:** (787) 645-5663

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2080P0207X | Pediatric Hematology & Oncology Physician | 15047 | PR | Yes |

## Other

- **Enumeration date:** 03/08/2010
- **Last updated:** 03/08/2010