Provider First Line Business Practice Location Address:
HOSPITAL SAN JUAN BAUTISTA-CLINICAS EXTERNAS
Provider Second Line Business Practice Location Address:
EXPRESO LUIS A. FERRE -SALIDA#21
Provider Business Practice Location Address City Name:
CAGUAS
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00915
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-286-1644
Provider Business Practice Location Address Fax Number:
787-286-1644
Provider Enumeration Date:
06/16/2005