Provider First Line Business Practice Location Address:
65 INFANTERIA KM # 8.3 HOSPITAL UPR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CAROLINA
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00985-0207
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-750-0930
Provider Business Practice Location Address Fax Number:
787-750-0930
Provider Enumeration Date:
05/05/2008