Provider First Line Business Practice Location Address:
DAMAS HOSPITAL
Provider Second Line Business Practice Location Address:
8TH FLOOR
Provider Business Practice Location Address City Name:
PONCE
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00733-5665
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-840-1172
Provider Business Practice Location Address Fax Number:
787-259-7536
Provider Enumeration Date:
05/23/2007