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General NPI Number Information
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NPI Number | 1790183093
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Entity Type | Organization
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Legal Business Name | CARIBBEAN RADIATION ONCOLOGY CENTER CORP.
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Dates
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Enumeration Date | 12/18/2014
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Last Update Date | 03/11/2020
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Provider Practice Location Address
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Address Line | 3125 NW 84TH AVE
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City | DORAL
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State | FL
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Zip | 33122
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Country | US
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Telephone | 787-685-5046
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Fax |
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Provider Business Mailing Address
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Address Line | 3125 NW 84TH AVE
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City | DORAL
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State | FL
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Zip | 33122-1994
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Country | US
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Telephone | 305-436-9196
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. PEDRO A SERRANO
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Credential | MD
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Telephone | 787-685-5046
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QX0203X
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Taxonomy Name | Radiation Oncology Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QX0203X
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Taxonomy Name | Radiation Oncology Clinic/Center
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License Number | ME78916
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License Number State | FL
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