Provider First Line Business Practice Location Address:
HOSP SAN JUAN BAUTISTA
Provider Second Line Business Practice Location Address:
CARR 172 KM 2 7TH FLOOR
Provider Business Practice Location Address City Name:
CAGUAS
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00726
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-258-4390
Provider Business Practice Location Address Fax Number:
787-704-0355
Provider Enumeration Date:
03/21/2006