Provider First Line Business Practice Location Address:
BO. CAIMITAL BAJO, AVENIDA SEVERIANO CUEVAS #18
Provider Second Line Business Practice Location Address:
HOSPITAL BUEN SAMARITANO
Provider Business Practice Location Address City Name:
AGUADILLA
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00603
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-882-3975
Provider Business Practice Location Address Fax Number:
787-997-0123
Provider Enumeration Date:
05/18/2007