# INSTITUTO DE RADIOTERAPIA AVANZADA DEL ESTE, PSC

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

## Provider details

- **NPI number:** 1962777052
- **Authorized official:** MR. ROBERTO ANTONIO RENTAS M.H.S.A. (ADMINISTRATOR)
- **Authorized official phone:** (787) 719-2300

## Contact information

- **Practice address:** 55 CALLE ANTONIO LOPEZ S, HUMACAO, PR 00791-4202
- **Practice address phone:** (787) 719-2300
- **Practice address fax:** (787) 719-2317
- **Mailing address:** 55 CALLE ANTONIO LOPEZ S, HUMACAO, PR 00791-4202
- **Mailing address phone:** (787) 719-2300
- **Mailing address fax:** (787) 719-2317

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QX0203X | Radiation Oncology Clinic/Center | 010236 | PR | Yes |

## Other

- **Enumeration date:** 03/21/2012
- **Last updated:** 03/21/2012