Provider Demographics
NPI:1619141967
Name:PONCE HEMATOLOGY ONCOLOGY P.S.C.
Entity Type:Organization
Organization Name:PONCE HEMATOLOGY ONCOLOGY P.S.C.
Other - Org Name:DR. HECTOR A VELEZ CORTES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HECTOR
Authorized Official - Middle Name:ANTONIO
Authorized Official - Last Name:VELEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-259-7807
Mailing Address - Street 1:PO BOX 495
Mailing Address - Street 2:
Mailing Address - City:MERCEDITA
Mailing Address - State:PR
Mailing Address - Zip Code:00715-0495
Mailing Address - Country:US
Mailing Address - Phone:787-259-7807
Mailing Address - Fax:787-840-6448
Practice Address - Street 1:1217 AVE HOSTOS
Practice Address - Street 2:
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00717-0953
Practice Address - Country:US
Practice Address - Phone:787-259-7807
Practice Address - Fax:787-840-6448
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-17
Last Update Date:2011-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR14795261QX0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QX0200XAmbulatory Health Care FacilitiesClinic/CenterOncology