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Organization

SOUTHWEST ONCOLOGY CLINIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SAMUEL A GONZALEZ MD (PRESIDENTE HEMATOLOGY ONCOLOGY)
(787) 866-1500
Entity
Organization

Contact information

Practice address
706 CALLE MARGINAL, LA FUENTE TOWN CENTER STE 11139, GUAYAMA, PR 00784
(787) 866-1500
(787) 866-1570
Mailing address
PO BOX 177, GUAYAMA, PR 00785
(787) 866-1500
(787) 866-1570

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
12702
PR

Other

Enumeration date
06/13/2007
Last updated
08/22/2020
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