Provider First Line Business Practice Location Address:
CENTRO CARDIOVASCULAR DE PUERTO RICO Y DEL CARIBE
Provider Second Line Business Practice Location Address:
AVE AMERICO MIRANDA CENTRO MEDICO SUITE 8B
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
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-771-3030
Provider Business Practice Location Address Fax Number:
888-378-0294
Provider Enumeration Date:
10/25/2006