Provider First Line Business Practice Location Address:
HOSPITAL HIMA SAN PABLO
Provider Second Line Business Practice Location Address:
SUITE 139 AVE. MUNOZ MARIN
Provider Business Practice Location Address City Name:
CAGUAS
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00725
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-745-2888
Provider Business Practice Location Address Fax Number:
787-745-2888
Provider Enumeration Date:
05/16/2007