Provider Demographics
NPI:1225454762
Name:CENTRO DE HEMATOLOGIA Y ONCOLOGIA MEDICA ASHFORD CSP
Entity Type:Organization
Organization Name:CENTRO DE HEMATOLOGIA Y ONCOLOGIA MEDICA ASHFORD CSP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:HILDA
Authorized Official - Middle Name:E
Authorized Official - Last Name:RIVERA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-725-6356
Mailing Address - Street 1:29 CALLE WASHINGTON
Mailing Address - Street 2:SUITE 604
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00907-1510
Mailing Address - Country:US
Mailing Address - Phone:787-725-6356
Mailing Address - Fax:787-724-3527
Practice Address - Street 1:29 CALLE WASHINGTON
Practice Address - Street 2:SUITE 604
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00907-1510
Practice Address - Country:US
Practice Address - Phone:787-725-6356
Practice Address - Fax:787-724-3527
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CENTRO DE HEMATOLOGIA Y ONCOLOGIA MEDICA ASHFORD CSP
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-03-07
Last Update Date:2014-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QX0200XAmbulatory Health Care FacilitiesClinic/CenterOncology