Provider Demographics
NPI:1407272610
Name:RG HEMATOLOGY ONCOLOGY PSC
Entity Type:Organization
Organization Name:RG HEMATOLOGY ONCOLOGY PSC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:
Authorized Official - Last Name:GARCIA ORTIZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-725-6381
Mailing Address - Street 1:#1353 ROAD 19
Mailing Address - Street 2:GARDENS HILL PLAZA PMB 386
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00966-2700
Mailing Address - Country:US
Mailing Address - Phone:787-725-6381
Mailing Address - Fax:787-725-6381
Practice Address - Street 1:1427 AVE FERNANDEZ JUNCOS
Practice Address - Street 2:OFICINA 201
Practice Address - City:SANTURCE
Practice Address - State:PR
Practice Address - Zip Code:00909-2658
Practice Address - Country:US
Practice Address - Phone:787-725-6381
Practice Address - Fax:787-725-6381
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:RG HEMATOLOGY ONCOLOGY PSC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-03-12
Last Update Date:2014-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QX0200XAmbulatory Health Care FacilitiesClinic/CenterOncology