Healthcare Provider Details

I. General information

NPI: 1588453138
Provider Name (Legal Business Name): VEN ROSE CANCER INSTITUTE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/01/2025
Last Update Date: 04/21/2026
Certification Date: 04/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 CALLE ROSANTA AULET
JAYUYA PR
00664-1328
US

IV. Provider business mailing address

URB VALLE ESCONDIDO #47
GUAYNABO PR
00971-8002
US

V. Phone/Fax

Practice location:
  • Phone: 787-373-0984
  • Fax:
Mailing address:
  • Phone: 787-373-0984
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License Number
License Number State

VIII. Authorized Official

Name: ISMAEL TORRES ROSARIO
Title or Position: PRESIDENT
Credential:
Phone: 787-373-0984