Provider First Line Business Practice Location Address:
BUEN SAMARITANO HOSPITAL
Provider Second Line Business Practice Location Address:
LEVEL G OFFICE 9
Provider Business Practice Location Address City Name:
AGUADILLA
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00605
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-882-2945
Provider Business Practice Location Address Fax Number:
787-882-2945
Provider Enumeration Date:
04/24/2007