Provider Demographics
NPI:1821766833
Name:G-ONCO PSC
Entity Type:Organization
Organization Name:G-ONCO PSC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT, SECRETARY, TREASURER
Authorized Official - Prefix:
Authorized Official - First Name:GINES
Authorized Official - Middle Name:
Authorized Official - Last Name:MARTINEZ MANGUAL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-372-3859
Mailing Address - Street 1:PO BOX 6600
Mailing Address - Street 2:
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00726-6600
Mailing Address - Country:US
Mailing Address - Phone:787-743-1010
Mailing Address - Fax:
Practice Address - Street 1:CONSOLIDATED MALL SUITE 9
Practice Address - Street 2:AVE. GAUTIER BENITEZ
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725-0001
Practice Address - Country:US
Practice Address - Phone:787-743-1010
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-03
Last Update Date:2021-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty