Provider First Line Business Practice Location Address:
HOSPITAL DR. RAMON RUIZ ANAU
Provider Second Line Business Practice Location Address:
#100 URB. SANTA JUANITA AVE. LAUREL
Provider Business Practice Location Address City Name:
BAYAMON
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00956-4806
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-778-1209
Provider Business Practice Location Address Fax Number:
787-778-1209
Provider Enumeration Date:
04/04/2007