Provider First Line Business Practice Location Address:
HOPITAL PAVIA
Provider Second Line Business Practice Location Address:
1462 CALLE PROFESOR AUGUSTO RODRIGUEZ
Provider Business Practice Location Address City Name:
SAN JUAN
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00910-1137
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-641-1616
Provider Business Practice Location Address Fax Number:
787-761-0613
Provider Enumeration Date:
05/12/2006