Organization
NOHSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EULOGIO BATISTA (ADMINISTRATOR)
(787) 884-7202
Entity
Organization
Contact information
Practice address
1-23 AVE PRINCIPAL, URB BARALT SUITE 1, FAJARDO, PR 00738
(787) 863-7646
(787) 860-7357
Mailing address
267 CALLE SIERRA MORENA, PMB 451, SAN JUAN, PR 00926
(787) 884-7202
Taxonomy
Speciality
Code
Description
License number
State
261QX0200X
Oncology Clinic/Center
Primary
—
—
Other
Enumeration date
09/23/2015
Last updated
09/23/2015
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