Provider Demographics
NPI:1487013389
Name:SANTA CLARA HEMAONCO PSC
Entity Type:Organization
Organization Name:SANTA CLARA HEMAONCO PSC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:V
Authorized Official - Last Name:GARCIA PALLAS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-383-2824
Mailing Address - Street 1:59 CALLE CEREZO
Mailing Address - Street 2:FINCA ELENA
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00791-0000
Mailing Address - Country:US
Mailing Address - Phone:787-381-5858
Mailing Address - Fax:
Practice Address - Street 1:500 AVE DEGETAU
Practice Address - Street 2:HIMA PLAZA 1 SUITE 702
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725-7303
Practice Address - Country:US
Practice Address - Phone:939-337-8107
Practice Address - Fax:939-337-8108
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-19
Last Update Date:2016-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR15941207RH0003X, 261QI0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QI0500XAmbulatory Health Care FacilitiesClinic/CenterInfusion Therapy
No207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & OncologyGroup - Single Specialty