# MAYAGUEZ ADVANCED RADIOTHERAPY CENTER

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

## Provider details

- **NPI number:** 1811932908
- **Authorized official:** MRS. ENID L CRESPO (BILLING SUPERVISION)
- **Authorized official phone:** (787) 834-6070

## Contact information

- **Practice address:** AVE HOSTOS, CENTRO MEDICO RAMON E. BETANCES, MAYAGUEZ, PR 00682-6353
- **Practice address phone:** (787) 834-6070
- **Practice address fax:** (787) 834-5535
- **Mailing address:** PO BOX 8043, MAYAGUEZ, PR 00681-8043
- **Mailing address phone:** (787) 834-6070
- **Mailing address fax:** (787) 834-5535

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2471R0002X | Radiation Therapy Radiologic Technologist | — | NULL | Yes |
| 2471R0002X | Radiation Therapy Radiologic Technologist | — | — | Yes |

## Other

- **Enumeration date:** 06/20/2006
- **Last updated:** 10/08/2008

## 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 |