Provider First Line Business Practice Location Address:
AVE. MUNOZ RIVERA NUM. A1 SUITE 303
Provider Second Line Business Practice Location Address:
CENTRO AMBULATORIO HIMA SAN PABLO CAGUAS
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:
787-704-3434
Provider Business Practice Location Address Fax Number:
787-961-4546
Provider Enumeration Date:
06/29/2006