Provider First Line Business Practice Location Address:
CORRETERA 172 ANEXO SAN JUAN BAUTISTA MEDICAL CENTER
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CAGNAS
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00725
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-704-7110
Provider Business Practice Location Address Fax Number:
787-746-7377
Provider Enumeration Date:
07/14/2006