Provider First Line Business Practice Location Address:
CARRETERA #2 CRUCE DAVILA
Provider Second Line Business Practice Location Address:
HOSPITAL ATLANTIC MEDICAL CENTER
Provider Business Practice Location Address City Name:
BARCELONETA
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00617-3244
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-312-2562
Provider Business Practice Location Address Fax Number:
787-846-7410
Provider Enumeration Date:
08/30/2012