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Organization

BREAST CANCER INSTITUTE C S P

Active
Other names
ADVANCED BREAST CENTER
Organization subpart
No

Provider details

NPI number
Authorized official
DR. VIDAL ROSARIO MD (PRESIDENTE)
(787) 735-0444
Entity
Organization

Contact information

Practice address
CARRETERA 14 KM 72.2, PLAZA MILIANGIE LOCAL #6, CAYEY, PR 00736
(787) 738-8077
(787) 738-8095
Mailing address
PO BOX 1390, AIBONITO, PR 00705-1390
(787) 738-8077
(787) 738-8095

Taxonomy

Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
7360000
HUMANA
PR
01
84894BR
TRIPLE S
PR
Enumeration date
06/05/2006
Last updated
03/28/2014
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