Provider Demographics
NPI:1811221088
Name:WESTERN RADIOTHERAPY CANCER CENTER
Entity Type:Organization
Organization Name:WESTERN RADIOTHERAPY CANCER CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:CARMEN
Authorized Official - Middle Name:
Authorized Official - Last Name:CINTRON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-834-6120
Mailing Address - Street 1:PO BOX 8043
Mailing Address - Street 2:
Mailing Address - City:MAYAGUEZ
Mailing Address - State:PR
Mailing Address - Zip Code:00681-8043
Mailing Address - Country:US
Mailing Address - Phone:787-834-6070
Mailing Address - Fax:787-834-5535
Practice Address - Street 1:AVE HOSTOS
Practice Address - Street 2:CENTRO MEDICO RAMON E. BETANCES
Practice Address - City:MAYAGUEZ
Practice Address - State:PR
Practice Address - Zip Code:00682-6353
Practice Address - Country:US
Practice Address - Phone:787-834-6070
Practice Address - Fax:787-834-5535
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-22
Last Update Date:2009-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2471R0002XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistRadiation TherapyGroup - Single Specialty