Provider First Line Business Practice Location Address:
CALLE MAGA FINAL TERRENOS HOSPITAL SIQUIATRIA
Provider Second Line Business Practice Location Address:
PABELLON G CENTRO MEDICO
Provider Business Practice Location Address City Name:
SAN JUAN
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00928-0000
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-754-4100
Provider Business Practice Location Address Fax Number:
787-767-9243
Provider Enumeration Date:
03/27/2007