Provider Demographics
NPI:1013014422
Name:CARIBBEAN RADIATION ONCOLOGY CENTER PSC
Entity Type:Organization
Organization Name:CARIBBEAN RADIATION ONCOLOGY CENTER PSC
Other - Org Name:CARIBBEAN TOMOTHERAPY CENTER, PSC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:PEDRO
Authorized Official - Middle Name:A
Authorized Official - Last Name:SERRANO-OJEDA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-993-2800
Mailing Address - Street 1:P.O. BOX 958
Mailing Address - Street 2:
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00960-0958
Mailing Address - Country:US
Mailing Address - Phone:787-993-2800
Mailing Address - Fax:787-778-5472
Practice Address - Street 1:11-25 CARR. 174
Practice Address - Street 2:URB. SANTA ROSA
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00959-6609
Practice Address - Country:US
Practice Address - Phone:787-993-2800
Practice Address - Fax:787-778-5472
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
Last Update Date:2009-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QX0203XAmbulatory Health Care FacilitiesClinic/CenterOncology, Radiation