Provider First Line Business Practice Location Address:
207 CALLE MORSE
Provider Second Line Business Practice Location Address:
HOSPITAL LAFAYETTE
Provider Business Practice Location Address City Name:
ARROYO
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00714-2350
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-864-3494
Provider Business Practice Location Address Fax Number:
787-864-3494
Provider Enumeration Date:
01/02/2006