Provider First Line Business Practice Location Address:
SAN JORGE MEDICAL OFFICE BUILDING
Provider Second Line Business Practice Location Address:
CALLE SAN JORGE 252 SUITE 201
Provider Business Practice Location Address City Name:
SANTURCE
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00908
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-727-5252
Provider Business Practice Location Address Fax Number:
787-727-5200
Provider Enumeration Date:
05/01/2006