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Organization

BOARD CERTIFIED ONCOLOGY GROUP LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARIA PEREZ M.D. (PRESIDENT)
(787) 919-7690
Entity
Organization

Contact information

Practice address
1519 AVE PONCE DE LEON, SUITE 1201, SAN JUAN, PR 00909-1703
(787) 919-7690
(787) 919-7694
Mailing address
1519 AVE PONCE DE LEON, FIRST FEDERAL BUILDING, SAN JUAN, PR 00910
(787) 919-7690
(787) 919-7694

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
340105
REGISTRO
PR
Enumeration date
08/07/2014
Last updated
08/07/2014
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