Puerto Rico Oncology, Psc
Clinic/Center, Oncology in Cotolaurel, PR. Organization (NPI-2).
NPI number1972979367
StatusActive
Last updated in NPPESAug 19, 2015
Details
- NPI
- 1972979367
- Entity type
- Organization (NPI-2)
- Legal business name
- Puerto Rico Oncology, Psc
- Organization subpart
- No
- Enumeration date
- Aug 19, 2015
- Last updated
- Aug 19, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QX0200X | Clinic/Center, Oncology | 16901 | PR | Yes |
| 261QI0500X | Clinic/Center, Infusion Therapy | 16901 | PR |
Other names
- Puerto Rico Oncology, Psc (Former Legal Business Name)
Practice location
Carr 506 Plaza San Cristobal Office Park Suite 202Cotolaurel, PR 00780
Phone 787-479-2608 · Fax 787-845-0806
Mailing address
Po Box 801469Coto Laurel, PR 00780-1469
Authorized official
Nelson A Matos
President
7874792608
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