Provider First Line Business Practice Location Address:
HOSPITAL SAN PABLO
Provider Second Line Business Practice Location Address:
AVE FONT MARTELO 3
Provider Business Practice Location Address City Name:
HUMACAO
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00791
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-234-4315
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/24/2007