Provider Demographics
NPI:1396984050
Name:ONCOLOGY INNOVATIONS AND INFUSIONS, PSC
Entity type:Organization
Organization Name:ONCOLOGY INNOVATIONS AND INFUSIONS, PSC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LUZ
Authorized Official - Middle Name:N
Authorized Official - Last Name:CORTES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-342-9959
Mailing Address - Street 1:PO BOX 786
Mailing Address - Street 2:
Mailing Address - City:FAJARDO
Mailing Address - State:PR
Mailing Address - Zip Code:00738-0786
Mailing Address - Country:US
Mailing Address - Phone:787-801-0000
Mailing Address - Fax:787-860-7105
Practice Address - Street 1:AVE. GENERAL VALERO 410
Practice Address - Street 2:TORRE MEDICA HIMA SAN PABLO SUITE 303
Practice Address - City:FAJARDO
Practice Address - State:PR
Practice Address - Zip Code:00738
Practice Address - Country:US
Practice Address - Phone:787-801-0000
Practice Address - Fax:787-860-7105
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-19
Last Update Date:2009-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR12895261QX0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QX0200XAmbulatory Health Care FacilitiesClinic/CenterOncology