Provider First Line Business Practice Location Address: 
SAN JUAN CITY HOSPITAL
    Provider Second Line Business Practice Location Address: 
MEDICAL CENTER
    Provider Business Practice Location Address City Name: 
SAN JUAN
    Provider Business Practice Location Address State Name: 
PR
    Provider Business Practice Location Address Postal Code: 
00936
    Provider Business Practice Location Address Country Code: 
US
    Provider Business Practice Location Address Telephone Number: 
787-766-2223
    Provider Business Practice Location Address Fax Number: 
    Provider Enumeration Date: 
09/09/2005