Provider First Line Business Practice Location Address:
ENDOUROLOGICAL INSTITUTE INC-CENTRO CIRUGIA AMBULATORIA
Provider Second Line Business Practice Location Address:
735 AVE PONCE DE LEON SUITE 608-612 TORRE AUXILIO MUTUO
Provider Business Practice Location Address City Name:
SAN JUAN
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00917-5028
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-777-8181
Provider Business Practice Location Address Fax Number:
787-777-8180
Provider Enumeration Date:
08/22/2006