| Organization Name: | INSTITUTO DE RADIOTERAPIA DEL ESTE, PSC |
| NPI Number: | 1013298942 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ROBERTO ANTONIO RENTAS (ADMINISTRATOR) |
| Mailing Address: | 55 Calle Antonio Lopez S Humacao |
| State: | PR US |
| Postal Code: | 007914202 |
| Phone Number: | 7877192300 |
| Fax Number: | 7877192317 |
| NPI Enumeration Date: | 09/06/2011 |
| NPI Last Update Date: | 09/06/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QX0203X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Oncology, Radiation |
| Taxonomy Definition: | |