Organization
CENTRO DE CANCER DE LA MONTANA CSP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM SIERRA (DIRECTOR RH)
(787) 740-3230
Entity
Organization
Contact information
Practice address
JOSE C. VAZQUEZ #1 DR. TROCHE, KM 4 INTERIOR, CARR. 726, AIBONITO, PR 00705
(787) 735-1888
(787) 735-2080
Mailing address
1353 AVE LUIS VIGOREAUX, PMB 472, GUAYNABO, PR 00966-2715
(787) 740-3230
(787) 993-6010
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RH0003X
Hematology & Oncology Physician
Primary
—
—
Other
Enumeration date
08/22/2005
Last updated
06/20/2014
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