Provider Demographics
NPI:1518364686
Name:COMPREHENSIVE CANCER SPECIALISTS
Entity type:Organization
Organization Name:COMPREHENSIVE CANCER SPECIALISTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ANGEL
Authorized Official - Middle Name:MIGUEL
Authorized Official - Last Name:RODRIGUEZ RIVERA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-782-9999
Mailing Address - Street 1:29 WASHINGTON STREET
Mailing Address - Street 2:STE 601-602 ASHFORD MEDICAL CTR
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00907-1521
Mailing Address - Country:US
Mailing Address - Phone:787-249-9560
Mailing Address - Fax:509-275-5604
Practice Address - Street 1:29 WASHINGTON STREET
Practice Address - Street 2:STE 601-602 ASHFORD MEDICAL CTR
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00907
Practice Address - Country:US
Practice Address - Phone:787-249-9560
Practice Address - Fax:509-275-5604
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-04
Last Update Date:2024-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR18873208600000X, 2086X0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086X0206XAllopathic & Osteopathic PhysiciansSurgerySurgical OncologyGroup - Multi-Specialty
No208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Multi-Specialty