Provider First Line Business Practice Location Address:
J-9 ST. HERMANAS DAVILAS
Provider Second Line Business Practice Location Address:
DOCTORS' HOSPITAL CENTER-BAYAMON AND SAN JUAN
Provider Business Practice Location Address City Name:
BAYAMON
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00960-0000
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-622-5420
Provider Business Practice Location Address Fax Number:
787-626-5602
Provider Enumeration Date:
11/23/2011