Provider First Line Business Practice Location Address:
SAN JUAN HEALTH CENTRE
Provider Second Line Business Practice Location Address:
SUITE 503, SANTURCE
Provider Business Practice Location Address City Name:
SAN JUAN
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00907
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-725-7348
Provider Business Practice Location Address Fax Number:
787-725-5025
Provider Enumeration Date:
10/26/2005