Provider First Line Business Practice Location Address:
HOSPITAL ONCOLOGICO 4TO PISO MEDICINA NUCLEAR
Provider Second Line Business Practice Location Address:
CENTRO MEDICO DE PUERTO RICO, BO. MONACILLOS
Provider Business Practice Location Address City Name:
RIO PIEDRAS
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00935
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-625-9958
Provider Business Practice Location Address Fax Number:
787-622-7852
Provider Enumeration Date:
01/17/2006