Provider Demographics
NPI:1912308610
Name:CANCER CENTER OF THE CARIBBEAN
Entity Type:Organization
Organization Name:CANCER CENTER OF THE CARIBBEAN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:E
Authorized Official - Last Name:PEREZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-722-9030
Mailing Address - Street 1:1427 AVE. MANUEL FERNANDEZ JUNCOS
Mailing Address - Street 2:SUITE 101
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00910-0000
Mailing Address - Country:US
Mailing Address - Phone:787-722-9030
Mailing Address - Fax:787-722-9049
Practice Address - Street 1:1427 AVE. MANUEL FERNANDEZ JUNCOS
Practice Address - Street 2:SUITE 101
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00910-0000
Practice Address - Country:US
Practice Address - Phone:787-722-9030
Practice Address - Fax:787-722-9049
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-12
Last Update Date:2014-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & OncologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR340921OtherCERTIFICATION