Provider First Line Business Practice Location Address:
CARR 2 KM 39.5 HOSPITAL WILMA N VAZQUEZ
Provider Second Line Business Practice Location Address:
CALL BOX 7001
Provider Business Practice Location Address City Name:
VEGA BAJA
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00694-7001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-858-2580
Provider Business Practice Location Address Fax Number:
787-858-2385
Provider Enumeration Date:
05/01/2006