Provider First Line Business Practice Location Address:
CHARDON AVE. APS HEALTHCARE OF PUERTO RICO
Provider Second Line Business Practice Location Address:
ANNEX BLG. 2ND FLOOR
Provider Business Practice Location Address City Name:
SAN JUAN
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00936-8574
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-641-0774
Provider Business Practice Location Address Fax Number:
787-641-2774
Provider Enumeration Date:
04/10/2007