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Caribbean Cancer Care Services, LLC

Internal Medicine, Medical Oncology in Ponce, PR. Organization (NPI-2).

NPI number1679900567
StatusActive
Last updated in NPPESDec 21, 2017

Details

NPI
1679900567
Entity type
Organization (NPI-2)
Legal business name
Caribbean Cancer Care Services, LLC
Organization subpart
No
Enumeration date
Oct 9, 2013
Last updated
Dec 21, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207RX0202X Internal Medicine, Medical Oncology––Yes
207RH0003X Internal Medicine, Hematology & Oncology––
261QX0200X Clinic/Center, Oncology––

Practice location

2225 Ponce By Pass
Edificio Paua Suite 706
Ponce, PR 00717

Phone 787-284-4830 · Fax 787-841-1149

Mailing address

2225 Ponce By Pass
Edificio Parra Suite 706
Ponce, PR 00717

Phone 787-284-4830 · Fax 787-841-1149

Authorized official

Rolando L Jimenez
President
7872844830

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