Provider First Line Business Practice Location Address:
HOSPITAL SAN LUCAS
Provider Second Line Business Practice Location Address:
CARR 14 AVE TITO CASTRO 917
Provider Business Practice Location Address City Name:
PONCE
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00721
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-396-6967
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/02/2007