Provider First Line Business Practice Location Address:
1462 AUGUSTO RODRIGUEZ
Provider Second Line Business Practice Location Address:
HOSPITAL PAVIA
Provider Business Practice Location Address City Name:
SANTURCE
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00910-1137
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-727-6060
Provider Business Practice Location Address Fax Number:
787-758-8519
Provider Enumeration Date:
03/21/2006