Provider Demographics
NPI:1043395031
Name:TOME & UBINAS RADIO ONCOLOGY CENTER
Entity Type:Organization
Organization Name:TOME & UBINAS RADIO ONCOLOGY CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:EVELYN
Authorized Official - Middle Name:
Authorized Official - Last Name:FOSSE
Authorized Official - Suffix:
Authorized Official - Credentials:CPA, MBA
Authorized Official - Phone:787-764-5666
Mailing Address - Street 1:PO BOX 70321
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00936-8321
Mailing Address - Country:US
Mailing Address - Phone:787-764-5666
Mailing Address - Fax:787-767-7040
Practice Address - Street 1:400 AVE FD ROOSEVELT
Practice Address - Street 2:SUITE 109
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00918-2103
Practice Address - Country:US
Practice Address - Phone:787-764-5666
Practice Address - Fax:787-767-7040
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-26
Last Update Date:2007-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QX0203XAmbulatory Health Care FacilitiesClinic/CenterOncology, Radiation
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR88790Medicare PIN