Provider First Line Business Practice Location Address:
HOSPITAL AUXILIO MUTUO 3ER PISO
Provider Second Line Business Practice Location Address:
EDIFICIO VIEJO
Provider Business Practice Location Address City Name:
SAN JUAN
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00917
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-753-5336
Provider Business Practice Location Address Fax Number:
787-753-5337
Provider Enumeration Date:
10/06/2005