Provider First Line Business Practice Location Address:
CARR. 21 NUM 1785 AVE. LAS LOMAS #21
Provider Second Line Business Practice Location Address:
HOSP. METROPOLITANO DE SAN JUAN
Provider Business Practice Location Address City Name:
SAN JUAN
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00922
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-782-9999
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/26/2014