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Organization
MAYAGUEZ ADVANCED RADIOTHERAPY CENTER
Active
Organization
MAYAGUEZ ADVANCED RADIOTHERAPY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ENID L CRESPO (BILLING SUPERVISION)
(787) 834-6070
Entity
Organization
Contact information
Practice address
AVE HOSTOS, CENTRO MEDICO RAMON E. BETANCES, MAYAGUEZ, PR 00682-6353
(787) 834-6070
(787) 834-5535
Mailing address
PO BOX 8043, MAYAGUEZ, PR 00681-8043
(787) 834-6070
(787) 834-5535
Taxonomy
Speciality
Code
Description
License number
State
2471R0002X
Radiation Therapy Radiologic Technologist
Primary
—
NULL
2471R0002X
Radiation Therapy Radiologic Technologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3220-5
PROSAM
PR
01
—
510008
PREFERRED HEALTH
PR
01
—
55-92077
PLAN DE SALUD UIA
PR
01
—
592077
SER SALUD BELLA VISTA
PR
01
—
601345
MEDICARE & MUCHO MAS
PR
01
—
7617
INTERNATIONAL MEDICAL CAR
PR
01
—
900269
AMERICAN HEALTH, INC.
PR
Enumeration date
06/20/2006
Last updated
10/08/2008
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