Provider First Line Business Practice Location Address:
SAN SEBASTIAN MEDICAL CENTER
Provider Second Line Business Practice Location Address:
AVE EMERITO ESTRADA RIVERA
Provider Business Practice Location Address City Name:
SAN SEBASTIAN
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00685-0068
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-922-8760
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/19/2019