Provider First Line Business Practice Location Address:
URB. LA HACIENDA
Provider Second Line Business Practice Location Address:
HOSPITAL MENONITA GUAYAMA
Provider Business Practice Location Address City Name:
GUAYAMA
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00784
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-864-4300
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/07/2014