Prime Oncology Service, Llc | |
Carr 349 Km 2.7 Hospital Bella Vista Mayaguez PR 00680 | |
(787) 834-6000 | |
Not Available |
Full Name | Prime Oncology Service, Llc |
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Speciality | Internal Medicine |
Location | Carr 349 Km 2.7, Mayaguez, Puerto Rico |
Authorized Official Name and Position | Christian Rolon Almestica (PRESIDENT) |
Authorized Official Contact | 7878346000 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Prime Oncology Service, Llc 551 Calle Navamar Mayaguez PR 00680-8416 Ph: () - | Prime Oncology Service, Llc Carr 349 Km 2.7 Hospital Bella Vista Mayaguez PR 00680 Ph: (787) 834-6000 |
NPI Number | 1942054457 |
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Provider Enumeration Date | 04/12/2024 |
Last Update Date | 09/24/2024 |
Certification Date | 09/24/2024 |
Medicare PECOS PAC ID | 7810439171 |
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Medicare Enrollment ID | O20240603001786 |
Identifier | Type | State | Issuer |
---|---|---|---|
1942054457 | NPI | - | NPPES |
Provider Name | Christian Rolon |
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Provider Type | Practitioner - Hematology/oncology |
Provider Identifiers | NPI Number: 1164704581 PECOS PAC ID: 6305103896 Enrollment ID: I20171208002441 |
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