Organization
GYN ONCOLOGY GROUP PSC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUIS JAVIER SANTOR-REYES M.D. (PRESIDENT)
(787) 487-3797
Entity
Organization
Contact information
Practice address
EDIT. DIVINO NINO JESUS, PISO PONCE DE LEON 715, HOSPITAL AUXILIO MUTUO CENTRO DE CANCER, SAN JUAN, PR 00917
(787) 771-7942
(787) 771-7423
Mailing address
PO BOX 362422, SAN JUAN, PR 00936-2422
(787) 771-7942
(787) 771-7423
Taxonomy
Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
Primary
15022
PR
Other
Enumeration date
11/08/2012
Last updated
12/02/2015
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