# BREAST CANCER INSTITUTE C S P

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ADVANCED BREAST CENTER
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578502654
- **Authorized official:** DR. VIDAL ROSARIO MD (PRESIDENTE)
- **Authorized official phone:** (787) 735-0444

## Contact information

- **Practice address:** CARRETERA 14 KM 72.2, PLAZA MILIANGIE LOCAL \#6, CAYEY, PR 00736
- **Practice address phone:** (787) 738-8077
- **Practice address fax:** (787) 738-8095
- **Mailing address:** PO BOX 1390, AIBONITO, PR 00705-1390
- **Mailing address phone:** (787) 738-8077
- **Mailing address fax:** (787) 738-8095

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/05/2006
- **Last updated:** 03/28/2014