Provider First Line Business Practice Location Address:
HOSPITAL SIQUIATRIA FORENSE- AVE. TITO CASTRO
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PONCE
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00732-7321
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-844-0101
Provider Business Practice Location Address Fax Number:
787-842-7111
Provider Enumeration Date:
06/29/2009