Organization
CENTRO DE CANCER DE LA MONTANA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ARLENE ROBLES (ADMINISTRATOR)
(787) 740-3230
Entity
Organization
Contact information
Practice address
JOSE C VAZQUEZ #1 DR. TROCHE, KM 4 INTERIOR, CARR. 726, AIBONITO, PR 00705
(787) 735-1888
Mailing address
1353 AVE LUIS VIGOREAUX, PMB 472, GUAYNABO, PR 00966-2715
(787) 740-3230
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12502
SSS
PR
01
—
12503
SSS
PR
01
—
82065
SSS
PR
Enumeration date
03/23/2007
Last updated
06/09/2011
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