Provider First Line Business Practice Location Address:
ANESTESIOLOGIA EDIF. PRINCIPAL RCMA-989
Provider Second Line Business Practice Location Address:
CENTRO MEDICO DE PUERTO RICO, BO. MONACILLOS
Provider Business Practice Location Address City Name:
SAN JUAN
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00935
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-758-0640
Provider Business Practice Location Address Fax Number:
787-758-1327
Provider Enumeration Date:
01/11/2007