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NPI Code Detail

MEDICARE: HATO REY HEMATOLOGY ONCOLOGY GROUP

MEDICARE: HATO REY HEMATOLOGY ONCOLOGY GROUP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RH0003XHematology & Oncology Physician6085PR

General Provider Information

NPI Number : 1942203039
Entity Type Code : Organization
Provider Name (Legal Business Name) : HATO REY HEMATOLOGY ONCOLOGY GROUP
Provider Business Mailing Address
First Line : PO BOX 11965
Second Line :
City : SAN JUAN
State : PR
Zip : 00922-1965
Country : US
Telephone Number : 787-763-1788
Fax Number : 787-756-7853
Provider Business Practice Location Address
First Line : 735 AVE PONCE DE LEON
Second Line : STE 408
City : SAN JUAN
State : PR
Zip : 00917-5025
Country : US
Telephone Number : 787-763-1788
Fax Number : 787-756-7853
Authorized Official
Title or Position : ADMINISTRATOR
Name : MR. RAFAEL RIVERA
Credential : MHSA
Telephone Number : 787-763-1788
Provider Enumeration Date : 05/23/2005
Last Update Date : 08/22/2020

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Directions to “HATO REY HEMATOLOGY ONCOLOGY GROUP ” Practice Location

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