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General NPI Number Information
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NPI Number | 1588453138
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Entity Type | Organization
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Legal Business Name | VEN ROSE CANCER INSTITUTE LLC
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Dates
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Enumeration Date | 05/01/2025
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Last Update Date | 05/01/2025
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Provider Practice Location Address
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Address Line | CALLE APOLO SECTOR SANTA CLARA BO JAYUYA ABAJO
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City | JAYUYA
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State | PR
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Zip | 00664
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Country | US
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Telephone | 787-828-5510
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Fax |
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Provider Business Mailing Address
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Address Line | URB VALLE ESCONDIDO C-55 CALLE C-3
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City | GUAYNABO
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State | PR
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Zip | 00969
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ISMAEL TORRES ROSARIO
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Credential |
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Telephone | 787-360-7487
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number |
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License Number State |
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