Provider First Line Business Practice Location Address:
2435 AVE LAS AMERICAS
Provider Second Line Business Practice Location Address:
HOSP DR PILA DEPT RADOLOGIA
Provider Business Practice Location Address City Name:
PONCE
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00733
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-848-5600
Provider Business Practice Location Address Fax Number:
787-843-9320
Provider Enumeration Date:
03/12/2007