Provider First Line Business Practice Location Address:
3 CALLEJON LOS VETERANOS
Provider Second Line Business Practice Location Address:
GUAYAMA MEDICAL CENTER, 1ST FLOOR
Provider Business Practice Location Address City Name:
GUAYAMA
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00784-5984
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-864-1012
Provider Business Practice Location Address Fax Number:
787-866-2125
Provider Enumeration Date:
09/12/2005