Provider First Line Business Practice Location Address:
SEVERIANO CUEVAS STREET KM.141.1
Provider Second Line Business Practice Location Address:
BUEN SAMARITANO HOSPITAL
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:
787-658-0003
Provider Business Practice Location Address Fax Number:
787-997-1655
Provider Enumeration Date:
06/22/2005