Organization
GRUPO MEDICO INTEGRADO DE CANCER DE PUERTO RICO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BLANCA VANESSA ALVAREZ (ADMINISTRATOR)
(787) 263-0411
Entity
Organization
Contact information
Practice address
CALLE LUIS MORALES ESQ SALVADOR BRAU, SUITE 2-3, CAYEY, PR 00736
(787) 263-0411
(787) 263-0970
Mailing address
PO BOX 371763, CAYEY, PR 00737-1763
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
—
Other
Enumeration date
09/09/2019
Last updated
09/09/2019
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