Organization
BAYAMON ONCOLOGY MEDICAL CSP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENEL FERNANDEZ MD (PRESIDENT)
(787) 269-4740
Entity
Organization
Contact information
Practice address
66 CALLE SANTA CRUZ, INST. SAN PABLO SUITE 509, BAYAMON, PR 00961-7041
(787) 269-4740
(787) 269-4670
Mailing address
PO BOX 6310, BAYAMON, PR 00960-5310
(787) 269-4740
(787) 269-4670
Taxonomy
Speciality
Code
Description
License number
State
261QX0200X
Oncology Clinic/Center
Primary
7336
PR
Other
Enumeration date
03/17/2015
Last updated
03/17/2015
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