| Organization Name: | CENTRO INTEGRADO DE CANCER DEL SUR, PSC |
| NPI Number: | 1619240082 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | HECTOR SILVA RIVERA (PRESIDENT) |
| Mailing Address: | Carr. 506 Km 1.0 Torre San Cristobal Suite 408 Coto Laurel |
| State: | PR US |
| Postal Code: | 007800000 |
| Phone Number: | 7873667773 |
| Fax Number: | |
| NPI Enumeration Date: | 02/16/2012 |
| NPI Last Update Date: | 02/16/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QX0200X |
| License Number: | 8170 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Oncology |
| Taxonomy Definition: | An entity, facility, or distinct part of a facility providing diagnostic, treatment and prescriptive services related to cancerous conditions. Services include chemotherapy infusions and monitoring of implanted chemotherapeutic agents. |