Provider First Line Business Practice Location Address:
AVE. LAUREL HOSPITAL REGIONAL BAYAMON
Provider Second Line Business Practice Location Address:
CENTRO PEDIATRICO DE BAYAMON
Provider Business Practice Location Address City Name:
BAYAMON
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00956
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-778-4747
Provider Business Practice Location Address Fax Number:
787-786-8615
Provider Enumeration Date:
08/07/2006