| Hematology Oncology Care Group Llc | |
|
735 Ave Ponce De Leon Ste 416 San Juan PR 00917-5026 | |
| (787) 410-2877 | |
| Not Available |
| Full Name | Hematology Oncology Care Group Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 735 Ave Ponce De Leon Ste 416, San Juan, Puerto Rico |
| Authorized Official Name and Position | Alexandra Deya Quinquilla (OWNER) |
| Authorized Official Contact | 7874102877 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hematology Oncology Care Group Llc 735 Ave Ponce De Leon Ste 416 San Juan PR 00917-5026 Ph: (787) 410-2877 | Hematology Oncology Care Group Llc 735 Ave Ponce De Leon Ste 416 San Juan PR 00917-5026 Ph: (787) 410-2877 |
| NPI Number | 1023736907 |
|---|---|
| Provider Enumeration Date | 08/17/2022 |
| Last Update Date | 08/17/2022 |
| Medicare PECOS PAC ID | 0345611802 |
|---|---|
| Medicare Enrollment ID | O20230119001242 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023736907 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207RH0003X | Internal Medicine - Hematology & Oncology | (* (Not Available)) | Primary |
| Provider Name | Alexandra Deya Quinquilla |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1508205121 PECOS PAC ID: 6507148434 Enrollment ID: I20170128000226 |
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