Provider First Line Business Practice Location Address:
HOSPITAL BUEN SAMARITAN
Provider Second Line Business Practice Location Address:
4TH FLOOR
Provider Business Practice Location Address City Name:
AGUADILLA
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00603
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-882-5315
Provider Business Practice Location Address Fax Number:
787-882-5315
Provider Enumeration Date:
11/03/2005