Provider Demographics
NPI:1790183093
Name:CARIBBEAN RADIATION ONCOLOGY CENTER CORP.
Entity Type:Organization
Organization Name:CARIBBEAN RADIATION ONCOLOGY CENTER CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PEDRO
Authorized Official - Middle Name:A
Authorized Official - Last Name:SERRANO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-685-5046
Mailing Address - Street 1:3125 NW 84TH AVE
Mailing Address - Street 2:
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33122-1994
Mailing Address - Country:US
Mailing Address - Phone:305-436-9196
Mailing Address - Fax:
Practice Address - Street 1:3125 NW 84TH AVE
Practice Address - Street 2:
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33122
Practice Address - Country:US
Practice Address - Phone:787-685-5046
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CARIBBEAN RADIATION ONCOLOGY CENTER PSC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-12-18
Last Update Date:2020-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME78916261QX0203X
261QX0203X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QX0203XAmbulatory Health Care FacilitiesClinic/CenterOncology, Radiation