Provider First Line Business Practice Location Address:
HOSPITAL SAN LUCAS
Provider Second Line Business Practice Location Address:
#CARR 14
Provider Business Practice Location Address City Name:
PONCE
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00716
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-842-4883
Provider Business Practice Location Address Fax Number:
787-842-4883
Provider Enumeration Date:
11/18/2005