Organization
INSTITUTO DE HEMATOLOGIA Y ONCOLOGIA DEL TURABO
Active
Other names
EVELYN FONSECA, MD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EVELYN MARIE FONSECA M.D. (OWNER)
(787) 258-5858
Entity
Organization
Contact information
Practice address
SAN JUAN BAUTISTA MEDICAL CENTER, RD. 172, URB. TURABO GARDENS, CAGUAS, PR 00725-0000
(787) 258-5858
(787) 258-5858
Mailing address
PMB 331, PO BOX 4961, CAGUAS, PR 00726-4961
(787) 258-5858
(787) 258-5858
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
9601
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
82480
TRIPLE-S
PR
Enumeration date
04/04/2007
Last updated
08/22/2020
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