Provider Demographics
NPI:1053560912
Name:CLINICA HEMATO ONCOLOGICA, S.A.
Entity type:Organization
Organization Name:CLINICA HEMATO ONCOLOGICA, S.A.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATIVE
Authorized Official - Prefix:MRS
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:C
Authorized Official - Last Name:ROBINSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:507-265-2232
Mailing Address - Street 1:CL.53 MARBELLA
Mailing Address - Street 2:EDIF ROYAL CENTER PISO 5
Mailing Address - City:PANAMA
Mailing Address - State:PANAMA
Mailing Address - Zip Code:00832
Mailing Address - Country:PA
Mailing Address - Phone:507-265-2232
Mailing Address - Fax:507-264-6791
Practice Address - Street 1:CL.53 MARBELLA
Practice Address - Street 2:EDIF ROYAL CENTER PISO 5
Practice Address - City:PANAMA
Practice Address - State:PANAMA
Practice Address - Zip Code:00832
Practice Address - Country:PA
Practice Address - Phone:507-265-2232
Practice Address - Fax:507-264-6791
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-16
Last Update Date:2008-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QX0200XAmbulatory Health Care FacilitiesClinic/CenterOncology
No261QI0500XAmbulatory Health Care FacilitiesClinic/CenterInfusion Therapy
No261QX0203XAmbulatory Health Care FacilitiesClinic/CenterOncology, Radiation