Provider First Line Business Practice Location Address:
SEVERIANO CUEVAS # 18
Provider Second Line Business Practice Location Address:
HOSPITAL BUEN SAMARITANO
Provider Business Practice Location Address City Name:
AGUADILLA
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00603-5500
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-891-4833
Provider Business Practice Location Address Fax Number:
787-882-5405
Provider Enumeration Date:
05/10/2010