Organization
GYN-ONCOLOGY GROUP,PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUIS J SANTOS REYES M.D. (PRESIDENT)
(805) 405-3660
Entity
Organization
Contact information
Practice address
AUXILIO CENTRO DE CANCER, 715 PONCE DE LEON AV, PARADA 37 1/2 ,EDIF. NINO JESUS 4TO PISO, HATO REY, PR 00919
(805) 405-3660
Mailing address
PO BOX, 362422, SAN JUAN, PR 00936-2422
(805) 405-3660
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
—
Other
Enumeration date
03/17/2010
Last updated
03/17/2010
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