Provider First Line Business Practice Location Address:
CENTRO MEDICO DE PUERTO RICO BO MONACILLOS
Provider Second Line Business Practice Location Address:
CENTRO CARDIOVASCULAR DE PUERTO RICO Y EL CARIBE STE 4
Provider Business Practice Location Address City Name:
SAN JUAN
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00935-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-754-8500
Provider Business Practice Location Address Fax Number:
787-758-7953
Provider Enumeration Date:
09/03/2009