Provider First Line Business Practice Location Address:
HOSPITAL BUEN SAMARITANO BO CAIMITAL ALTO
Provider Second Line Business Practice Location Address:
APT 4055
Provider Business Practice Location Address City Name:
AGUADILLA
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00603-4736
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-658-0000
Provider Business Practice Location Address Fax Number:
787-819-0805
Provider Enumeration Date:
12/08/2023