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Organization

GRUPO DE RADIOTERAPIA DEL TURABO, PSC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JULIO J DIAZ PADILLA M.D. (ADMINISTRATOR)
(787) 754-0315
Entity
Organization

Contact information

Practice address
AVE LUIS MUNOZ MARIN # 100, URB MARIOLGA, CAGUAS, PR 00725-4081
(787) 754-0315
(787) 763-9871
Mailing address
PMB 10, PO BOX 70344, SAN JUAN, PR 00936-8344
(787) 754-0315
(787) 763-9871

Taxonomy

Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10670
STATE LIC
PR
01
10907
STATE LIC
PR
01
15470
STATE LIC
PR
Enumeration date
07/30/2007
Last updated
07/30/2007
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