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Organization

ADVANCE ONCOLOGY GROUP

Active
Other names
Advance Oncology Group
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LIZA M PAULO MALAVE MD (DIRECTOR)
(787) 891-0027
Entity
Organization

Contact information

Practice address
150 AVE PEDRO ALBIZU CAMPOS, REPARTO LOPEZ, AGUADILLA, PR 00603-5714
(787) 891-0027
(787) 997-2222
Mailing address
GALLERY PLAZA 103, AVE JOSE DE DIEGO APT 2107, SAN JUAN, PR 00911
(787) 891-0027
(787) 997-2222

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
207RX0202X
Medical Oncology Physician
261QI0500X
Infusion Therapy Clinic/Center
16891
PR
261QX0200X
Oncology Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
16861
LICENSE
PR
Enumeration date
09/22/2011
Last updated
04/17/2024
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