Provider First Line Business Practice Location Address:
CARRETERA #172
Provider Second Line Business Practice Location Address:
HOSPITAL SAN JUAN BAUTISTA
Provider Business Practice Location Address City Name:
CAGUAS
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00726
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-730-1166
Provider Business Practice Location Address Fax Number:
787-730-1166
Provider Enumeration Date:
05/21/2007