Provider First Line Business Practice Location Address:
HOSPITAL AUXILIO MUTUO
Provider Second Line Business Practice Location Address:
1200 AVE PONCE DE LEON
Provider Business Practice Location Address City Name:
SAN JUAN
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00907-3918
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-296-0949
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/31/2006