Provider First Line Business Practice Location Address: 
HOSPITAL BAYAMON HEALTH CENTER
    Provider Second Line Business Practice Location Address: 
CALLE MANUEL F ROSSY ESQ DEGETAU
    Provider Business Practice Location Address City Name: 
BAYAMON
    Provider Business Practice Location Address State Name: 
PR
    Provider Business Practice Location Address Postal Code: 
00960
    Provider Business Practice Location Address Country Code: 
US
    Provider Business Practice Location Address Telephone Number: 
787-273-1227
    Provider Business Practice Location Address Fax Number: 
    Provider Enumeration Date: 
05/12/2006