Provider First Line Business Practice Location Address:
PROFESSIONAL HOSPITAL
Provider Second Line Business Practice Location Address:
CARR.199 KM. 1.2
Provider Business Practice Location Address City Name:
GUAYNABO
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00969
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-773-0023
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/06/2005