Provider First Line Business Practice Location Address:
100 PASEO SAN PABLO, EDIFICIO ARTURO CADILLA
Provider Second Line Business Practice Location Address:
SUITE 208, HOSPITAL HIMA SAN PABLO
Provider Business Practice Location Address City Name:
BAYAMON
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00961
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-787-3268
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/22/2013