Organization
MARALEC,CSP
Active
Other names
Instituto Oncologia Moderna
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSE A CANGIANO MD (MEDICAL DIRECTOR)
(787) 848-0606
Entity
Organization
Contact information
Practice address
35 CALLE CASTILLO, PONCE, PR 00730-3747
(787) 848-0606
(787) 848-0616
Mailing address
PO BOX 7105, PMB 595, PONCE, PR 00732-7105
(787) 848-0606
(787) 848-0616
Taxonomy
Speciality
Code
Description
License number
State
261QX0200X
Oncology Clinic/Center
Primary
13250
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
$$$$$$$$$
SOCIAL SECURITY
PR
Enumeration date
05/05/2016
Last updated
05/21/2020
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