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Organization
BIOMOLECULAR PERSONAL CANCER CENTER LLC
Active
Organization
BIOMOLECULAR PERSONAL CANCER CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIDAL ROSARIO LEON MD (PRESIDENT)
(787) 735-4404
Entity
Organization
Contact information
Practice address
108 CALLE JOSE C VAZQUEZ, AIBONITO, PR 00705-3309
(787) 735-4404
Mailing address
PO BOX 372350, CAYEY, PR 00737-2350
(787) 735-4404
Taxonomy
Speciality
Code
Description
License number
State
207ZC0006X
Clinical Pathology Physician
—
NULL
207ZC0006X
Clinical Pathology Physician
—
—
2085N0904X
Nuclear Radiology Physician
—
NULL
2085N0904X
Nuclear Radiology Physician
—
—
208600000X
Surgery Physician
—
NULL
208600000X
Surgery Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
NULL
261QR0200X
Radiology Clinic/Center
—
NULL
Other
Enumeration date
11/09/2022
Last updated
11/09/2022
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