Provider First Line Business Practice Location Address:
HOSPITAL CRISTO REDENTOR
Provider Second Line Business Practice Location Address:
GUAYAMA
Provider Business Practice Location Address City Name:
GUAYAMA
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00785
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-864-4300
Provider Business Practice Location Address Fax Number:
787-864-1070
Provider Enumeration Date:
10/18/2005