Provider First Line Business Practice Location Address:
CARR 349 KM 2.4 CERRO LAS MASAS
Provider Second Line Business Practice Location Address:
HOSPITAL BELLA VISTA
Provider Business Practice Location Address City Name:
MAYAGUEZ
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00680
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-832-1585
Provider Business Practice Location Address Fax Number:
787-883-2158
Provider Enumeration Date:
01/18/2006