Provider Demographics
NPI:1528492113
Name:HEMATOLOGY & ONCOLOGY MEDICAL SERVICE PCS
Entity type:Organization
Organization Name:HEMATOLOGY & ONCOLOGY MEDICAL SERVICE PCS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:OMAYRA
Authorized Official - Middle Name:L
Authorized Official - Last Name:GONZALEZ RODRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-638-2806
Mailing Address - Street 1:CARR 14 INTERIOR K 03 BARRIO RINCON SECTOR LOMAS
Mailing Address - Street 2:308
Mailing Address - City:CAYEY
Mailing Address - State:PR
Mailing Address - Zip Code:00737-2800
Mailing Address - Country:US
Mailing Address - Phone:787-961-4888
Mailing Address - Fax:787-961-4889
Practice Address - Street 1:CARR 14INTERIOR K 03 BARRIO RINCON SECTOR LOMAS
Practice Address - Street 2:308
Practice Address - City:CAYEY
Practice Address - State:PR
Practice Address - Zip Code:00737-2800
Practice Address - Country:US
Practice Address - Phone:787-638-2806
Practice Address - Fax:787-961-8889
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-30
Last Update Date:2014-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QX0200XAmbulatory Health Care FacilitiesClinic/CenterOncology