Provider Demographics
NPI:1376710905
Name:CARIBBEAN RADIATION ONCOLOGY SERVICES, LLC
Entity Type:Organization
Organization Name:CARIBBEAN RADIATION ONCOLOGY SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF RADIATION ONCOLOGY
Authorized Official - Prefix:DR
Authorized Official - First Name:SHIRNETT
Authorized Official - Middle Name:KAREAN
Authorized Official - Last Name:WILLIAMSON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:340-775-5433
Mailing Address - Street 1:9160 ESTATE THOMAS
Mailing Address - Street 2:PMB 217
Mailing Address - City:ST THOMAS
Mailing Address - State:VI
Mailing Address - Zip Code:00802-2687
Mailing Address - Country:US
Mailing Address - Phone:340-775-5433
Mailing Address - Fax:340-714-5433
Practice Address - Street 1:9048 SUGAR ESTATE
Practice Address - Street 2:
Practice Address - City:ST THOMAS
Practice Address - State:VI
Practice Address - Zip Code:00802
Practice Address - Country:US
Practice Address - Phone:340-775-5433
Practice Address - Fax:340-714-5433
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-13
Last Update Date:2008-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VI13202085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation OncologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VIG37966Medicare UPIN