Basic Information
| Provider Information | |||||||||
| NPI: | 1831107317 | ||||||||
| EntityType: | 1 | ||||||||
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| LastName: | PACHECO - HERNANDEZ | ||||||||
| FirstName: | EILEEN | ||||||||
| MiddleName: | I | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | HEMATOLOGIA Y ONCOLOGIA RCM | ||||||||
| Address2: | PO BOX 29134 | ||||||||
| City: | SAN JUAN | ||||||||
| State: | PR | ||||||||
| PostalCode: | 009290134 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7877540101 | ||||||||
| FaxNumber: | 7877565866 | ||||||||
| Practice Location | |||||||||
| Address1: | HEMATOLOGIA Y ONCOLOGIA RCM | ||||||||
| Address2: | SOTANO HOSPITAL UNIVERSITARIO CENTRO MEDICO | ||||||||
| City: | RIO PIEDRAS | ||||||||
| State: | PR | ||||||||
| PostalCode: | 00935 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7877540101 | ||||||||
| FaxNumber: | 7877565866 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/03/2006 | ||||||||
| LastUpdateDate: | 11/08/2011 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RH0003X | 6439 | PR | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Hematology & Oncology |
ID Information
| ID | Type | State | Issuer | Description | 12918 | 01 | PR | SSS-MED. QUIMIO | OTHER | 28159 | 01 | PR | SSS-ADMIN. Y VISITAS | OTHER |