Organization
INSTITUTO DE HEMATOLOGIA Y ONCOLOGIA DEL TURABO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EVELYN M FONSECA (PRESIDENTE)
(787) 258-7320
Entity
Organization
Contact information
Practice address
50 AVE LUIS MUNOZ MARIN, 205 QUADRANGLE MEDICAL CENTER, CAGUAS, PR 00725-3975
(787) 258-7320
(787) 258-5858
Mailing address
PO BOX 4961, PMB 331 S 1, CAGUAS, PR 00726
(787) 258-7320
(787) 258-5858
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
9601
PR
261QI0500X
Infusion Therapy Clinic/Center
9601
PR
261QX0200X
Oncology Clinic/Center
Primary
9601
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1659398949
NPI
PR
Enumeration date
06/26/2014
Last updated
06/26/2014
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