SICK BLOOD MED SERV CSP NPI 1821458704

NPI Information

  • NPI: 1821458704
  • Provider Name: SICK BLOOD MED SERV CSP
  • Classification: Internal Medicine - 207RH0003X
  • Specialization: Hematology & Oncology
  • Entity Type: Organization
  • Address: 369 CALLE DE DIEGO STE 603-604
    SAN JUAN, PR
    ZIP 00923
  • Phone: (787) 753-6022

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NPI Details

SICK BLOOD MED SERV CSP is a hematology and oncology internal medicine in San Juan, PR. The provider is an internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. SICK BLOOD MED SERV CSP NPI is 1821458704. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

369 CALLE DE DIEGO STE 603-604
SAN JUAN, PR
ZIP 00923-003
Phone: (787) 753-6022
Fax: (787) 753-6066

The provider's authorized official is Pedro G Solivan Ortiz .
The authorized official title is President and has the following contact phone number (787) 771-7933.

The enumeration date for this NPI number is 3/4/2016 and was last updated on 1/26/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RH0003XInternal MedicineHematology & Oncology17625PUERTO RICOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
117625OTHERPUERTO RICOLIC

What is NPI?

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This page was last updated on: 11/21/2025

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