Provider First Line Business Practice Location Address:
# 715 AVE. PONCE DE LEON PDA. 37 1 2
Provider Second Line Business Practice Location Address:
HOSPITAL AUXILIO MUTUO CLIN. SUBESPECIALISTAS PEDIATR.
Provider Business Practice Location Address City Name:
SAN JUAN
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00919-1227
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-758-2000
Provider Business Practice Location Address Fax Number:
787-771-7996
Provider Enumeration Date:
04/09/2007