Provider First Line Business Practice Location Address:
780 CALLE ARRAYADOSANDEMTRIO
Provider Second Line Business Practice Location Address:
HOSPITAL WILMA N VAZQUEZ CARR 2 KM 39.5
Provider Business Practice Location Address City Name:
VEGA BAJA
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00693-3512
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-210-8127
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/01/2005