Provider First Line Business Practice Location Address:
SEVERIANO CUEVAS AVE. INTERIOR KM 141.1
Provider Second Line Business Practice Location Address:
HOSPITAL BUEN SAMARITANO, GROUND FLOOR
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:
787-997-0101
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/30/2005