Provider First Line Business Practice Location Address:
LOBBY HOSPITAL BUEN SAMARITANO
Provider Second Line Business Practice Location Address:
AVE SEVERIANO CUEVAS 18
Provider Business Practice Location Address City Name:
AGUADILLA
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00605
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-891-2175
Provider Business Practice Location Address Fax Number:
787-891-2175
Provider Enumeration Date:
12/07/2005