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General NPI Number Information
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NPI Number | 1750780466
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Entity Type | Organization
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Legal Business Name | CANCER CENTER OF THE CARIBBEAN, LLC
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Dates
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Enumeration Date | 08/19/2014
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Last Update Date | 08/19/2014
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Provider Practice Location Address
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Address Line | 420 PONCE DE LEON EDIF MIDTOWN SUITE 805
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City | SAN JUAN
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State | PR
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Zip | 00919-0000
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Country | US
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Telephone | 787-919-7690
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Fax | 787-919-7694
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Provider Business Mailing Address
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Address Line | PO BOX 8520
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City | SAN JUAN
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State | PR
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Zip | 00910-0520
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Country | US
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Telephone | 787-562-5168
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Fax | 787-722-9030
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MARIA ELOISA PEREZ
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Credential | M.D.
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Telephone | 787-934-1838
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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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