Provider First Line Business Practice Location Address:
715 AVE PONCE DE LEON PDA 37
Provider Second Line Business Practice Location Address:
HOSPITAL AUXILIO MUTUO CENTRO NEURODIAGNOSTICO
Provider Business Practice Location Address City Name:
SAN JUAN
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00918
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-422-8886
Provider Business Practice Location Address Fax Number:
787-294-0335
Provider Enumeration Date:
06/08/2007