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General NPI Number Information
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NPI Number | 1003366527
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Entity Type | Organization
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Legal Business Name | CENTRO DE CANCER DE LA UNIVERSIDAD
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Dates
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Enumeration Date | 10/07/2016
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Last Update Date | 02/06/2025
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Provider Practice Location Address
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Address Line | PR21 INT PR18 BO MONACILLOS
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City | SAN JUAN
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State | PR
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Zip | 00927
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Country | US
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Telephone | 787-772-8300
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Fax | 787-758-2557
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Provider Business Mailing Address
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Address Line | PO BOX 363027
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City | SAN JUAN
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State | PR
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Zip | 00936-3027
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Country | US
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Telephone | 787-772-8300
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Fax | 787-758-2557
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Authorized Official
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Title or Position | DIRECTOR
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Name | MRS. ELBA ALICEA
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Credential |
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Telephone | 787-772-8300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 284300000X
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Taxonomy Name | Special Hospital
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License Number |
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License Number State | PR
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