Provider First Line Business Practice Location Address:
CARDIOVASCULAR CENTER OF PUERTO RICO-SUITE 6
Provider Second Line Business Practice Location Address:
PUERTO RICO MEDICAL CENTER
Provider Business Practice Location Address City Name:
SAN JUAN
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00936-6528
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-763-6537
Provider Business Practice Location Address Fax Number:
787-758-7577
Provider Enumeration Date:
10/12/2006