Organization
GRUPO ONCOLOGICO COMUNITARIO DE SAN JUAN PSC MEDICOS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LUIS BAEZ DIAZ MD (PRESIDENT)
(787) 274-3387
Entity
Organization
Contact information
Practice address
735 AVE PONCE DE LEON, TORRE MEDICA AUXLIO MUTUO SUITE 517, SAN JUAN, PR 00917-5022
(787) 274-3387
(787) 374-3389
Mailing address
735 AVE PONCE DE LEON, TORRE MEDICA AUXILIO MUTUO SUITE 517, SAN JUAN, PR 00917-5022
(787) 274-3387
(787) 274-3389
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
—
—
261QX0200X
Oncology Clinic/Center
Primary
6263
PR
Other
Enumeration date
05/12/2006
Last updated
08/12/2015
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