Provider First Line Business Practice Location Address:
HOSP BUEN SAMARITANO
Provider Second Line Business Practice Location Address:
SUITE G-9
Provider Business Practice Location Address City Name:
AGUADILLA
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00603-2002
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-647-0826
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/07/2007