Provider Demographics
NPI:1518063098
Name:CENTRO ONCOLOGIA Y HEMATOLOGIA
Entity Type:Organization
Organization Name:CENTRO ONCOLOGIA Y HEMATOLOGIA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE
Authorized Official - Prefix:MRS
Authorized Official - First Name:DALIA
Authorized Official - Middle Name:
Authorized Official - Last Name:RUIZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-751-0373
Mailing Address - Street 1:PO BOX 363986
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00936-3986
Mailing Address - Country:US
Mailing Address - Phone:787-751-0373
Mailing Address - Fax:
Practice Address - Street 1:730 AVE PONCE DE LEON
Practice Address - Street 2:SUITE 416
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00918-4509
Practice Address - Country:US
Practice Address - Phone:787-751-0373
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR6441207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & OncologyGroup - Single Specialty