Provider First Line Business Practice Location Address:
HOSPITAL EPISCOPAL SAN LUCAS PONCE
Provider Second Line Business Practice Location Address:
AVE TITO CASTRO, NUM. 917 PO BOX 336810
Provider Business Practice Location Address City Name:
PONCE
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00733
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-843-3031
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/26/2010