Organization
QUIMIO AMBDRV SERV. MED, C.S.P.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERTO VELAZQUEZ M.D. (PRESIDENT)
(787) 841-0587
Entity
Organization
Contact information
Practice address
2431 AVE LAS AMERICAS, SUITE 105 EDIF. PORRATA PILA, PONCE, PR 00717-2113
(787) 841-0587
(787) 842-2952
Mailing address
2431 AVE. LAS AMERICAS, SUITE 105 EDIF. PORRATA PILA, PONCE, PR 00717-2114
(787) 841-0587
(787) 842-2952
Taxonomy
Speciality
Code
Description
License number
State
261QX0200X
Oncology Clinic/Center
Primary
7161
PR
Other
Enumeration date
03/30/2010
Last updated
03/30/2010
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