Organization
CENTRO MEDICO DEL TURABO, INC.
Active
Other names
Centro de Cancer HIMA
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOAQUIN RODRIGUEZ SR. JD (CHAIRMAN, CEO)
(787) 653-3099
Entity
Organization
Contact information
Practice address
100 LUIS MUNOZ MARIN AVE, CAGUAS, PR 00725
(787) 653-3099
(787) 653-1799
Mailing address
PO BOX 4980, CAGUAS, PR 00726-4980
(787) 653-3099
(787) 653-1799
Taxonomy
Speciality
Code
Description
License number
State
261QX0203X
Radiation Oncology Clinic/Center
Primary
13
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CNC83162
STATE LICENSE
PR
Enumeration date
08/29/2007
Last updated
08/29/2007
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