Provider Demographics
NPI:1831107317
Name:PACHECO - HERNANDEZ, EILEEN I (MD)
Entity Type:Individual
Prefix:DR
First Name:EILEEN
Middle Name:I
Last Name:PACHECO - HERNANDEZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HEMATOLOGIA Y ONCOLOGIA RCM
Mailing Address - Street 2:PO BOX 29134
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00929-0134
Mailing Address - Country:US
Mailing Address - Phone:787-754-0101
Mailing Address - Fax:787-756-5866
Practice Address - Street 1:HEMATOLOGIA Y ONCOLOGIA RCM
Practice Address - Street 2:SOTANO HOSPITAL UNIVERSITARIO CENTRO MEDICO
Practice Address - City:RIO PIEDRAS
Practice Address - State:PR
Practice Address - Zip Code:00935
Practice Address - Country:US
Practice Address - Phone:787-754-0101
Practice Address - Fax:787-756-5866
Is Sole Proprietor?:No
Enumeration Date:2006-08-03
Last Update Date:2011-11-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR6439207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR12918OtherSSS-MED. QUIMIO
PR28159OtherSSS-ADMIN. Y VISITAS
PR28159OtherSSS-ADMIN. Y VISITAS
PR0028159Medicare ID - Type Unspecified