Provider First Line Business Practice Location Address:
HOSPITAL AUXILIO MUTUO , SALA DE EMERGENCIA
Provider Second Line Business Practice Location Address:
AVE PONCE DE LEON PDA 37
Provider Business Practice Location Address City Name:
SAN JUAN
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00917
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-758-2000
Provider Business Practice Location Address Fax Number:
787-268-7271
Provider Enumeration Date:
02/21/2007