Provider First Line Business Practice Location Address:
URB VILLA ROSA I
Provider Second Line Business Practice Location Address:
HOSPITAL SANTA ROSA II LOS VETERANOS AVENUE
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:
787-866-5050
Provider Business Practice Location Address Fax Number:
787-864-4898
Provider Enumeration Date:
03/28/2007