Provider First Line Business Practice Location Address:
AVE PEDRO ALBIZU CAMPOS URB LA HACIENDA
Provider Second Line Business Practice Location Address:
HOSPITAL SAN LUCAS GUAYAMA
Provider Business Practice Location Address City Name:
GUAYAMA
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00785
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-977-2525
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/13/2007