MEDICARE: CENTRO DE HEMATOLOGIA & ONCOLOGIA METROPOITANO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM1300X	Multi-Specialty Clinic/Center	15267	PR

General Provider Information

NPI Number	:	1407093321
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CENTRO DE HEMATOLOGIA & ONCOLOGIA METROPOITANO

Provider Business Mailing Address
First Line	:	U3-2 CARR 21
Second Line	:
City	:	RIO PIEDRAS
State	:	PR
Zip	:	00921-3304
Country	:	US
Telephone Number	:	787-706-4466
Fax Number	:

Provider Business Practice Location Address
First Line	:	U3-2 CARR 21
Second Line	:
City	:	RIO PIEDRAS
State	:	PR
Zip	:	00921-3304
Country	:	US
Telephone Number	:	787-706-4466
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. HECTOR RUBEN LEON
Credential	:	M.D.
Telephone Number	:	787-706-4466

Provider Enumeration Date	:	01/14/2009
Last Update Date	:	01/14/2009

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