Organization
METROHEALTH RADIATION ONCOLOGY GROUP, INC.
Active
Other names
Radiation Therapy and Cancer Institute
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HERIBERTO HERNANDEZ M.B.A. (ADMINISTRATOR)
(787) 774-5555
Entity
Organization
Contact information
Practice address
410 CARR 2, BO. SABALOS, MAYAGUEZ, PR 00682-1560
(787) 652-6555
Mailing address
PO BOX 191625, SAN JUAN, PR 00919-1625
(787) 774-5555
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
6662
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20271
MEDICARE
PR
01
—
20931
MEDICARE
PR
01
—
85063
MEDICARE
PR
Enumeration date
05/19/2009
Last updated
05/19/2009
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