Provider First Line Business Practice Location Address:
HOSPITAL AUXILIO MUTUO
Provider Second Line Business Practice Location Address:
715 PONCE DE LEON PDA 37 1/2
Provider Business Practice Location Address City Name:
SAN JUAN
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00919-2712
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:
787-771-7593
Provider Enumeration Date:
12/27/2007