Organization
CLINICA DE CANCER Y ENFERMEDADES DE LA SANGRE, CSP
Active
Other names
Clinica de Cancer y Enfermedades de la Sangre, CSP
Organization subpart
No
Provider details
NPI number
Authorized official
VICTOR J VAZQUEZ-RODRIGUEZ MD (PRESIDENT)
(787) 882-3975
Entity
Organization
Contact information
Practice address
CARR 460 KM 0.2 BO CAIMITAL BAJO, AGUADILLA, PR 00603-4055
(787) 882-3975
(787) 997-0123
Mailing address
PO BOX 5191, AGUADILLA, PR 00605-5191
(787) 882-3975
(787) 997-0123
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
10679
PR
261QI0500X
Infusion Therapy Clinic/Center
—
—
261QX0200X
Oncology Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
40D0944775
CLIA ID NUMBER
PR
Enumeration date
08/03/2006
Last updated
10/25/2024
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