Provider First Line Business Practice Location Address:
AVENIDA DE DIEGI #150 ESQUINA BALDORIOTY DE CASTRO
Provider Second Line Business Practice Location Address:
CONDOMINIO SAN JUAN HEALTH CENTRE
Provider Business Practice Location Address City Name:
SAN JUAN
Provider Business Practice Location Address State Name:
PUERTO RICO
Provider Business Practice Location Address Postal Code:
00907
Provider Business Practice Location Address Country Code:
AX
Provider Business Practice Location Address Telephone Number:
787-977-7575
Provider Business Practice Location Address Fax Number:
787-977-7587
Provider Enumeration Date:
10/22/2009