Provider First Line Business Practice Location Address:
# 715 AVE. PONCE DE LEON PDA. 37 Y 1/2
Provider Second Line Business Practice Location Address:
HOSPITAL AUXILIO MUTUO
Provider Business Practice Location Address City Name:
HATO REY
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00918-4233
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-758-2000
Provider Business Practice Location Address Fax Number:
787-294-0527
Provider Enumeration Date:
07/18/2006