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Organization

CARIBBEAN HEALTH ALLIANCE PSC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. SAMUEL A GONZALEZ M.D (PRESIDENTE)
(787) 866-1500
Entity
Organization

Contact information

Practice address
LA FUENTE TOWN CENTER, 706 C/ MARGINAL SUITE 11139, GUAYAMA, PR 00784
(787) 866-1500
(787) 866-1652
Mailing address
PO BOX 177, GUAYAMA, PR 00785-0177
(787) 866-1500
(787) 866-1652

Taxonomy

Speciality
Code
Description
License number
State
261QX0200X
Oncology Clinic/Center
Primary
12702
PR

Other

Enumeration date
02/16/2012
Last updated
05/02/2012
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