Provider First Line Business Practice Location Address:
AVENIDA LAUREL, ESQUINA POWELL
Provider Second Line Business Practice Location Address:
UNIVERSIDAD CENTRAL DEL CARIBE/HOSPITAL RUIZ ARNAU
Provider Business Practice Location Address City Name:
BAYAMON
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00960-6032
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-288-0200
Provider Business Practice Location Address Fax Number:
787-288-0242
Provider Enumeration Date:
09/24/2007