Provider First Line Business Practice Location Address:
CARRETERA 125 KM 21.9
Provider Second Line Business Practice Location Address:
EDIFICIO SAN SEBASTIAN MEDICAL CENTER
Provider Business Practice Location Address City Name:
SAN SEBASTIAN
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00685-0000
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-926-1790
Provider Business Practice Location Address Fax Number:
787-926-1790
Provider Enumeration Date:
11/21/2011