Provider First Line Business Practice Location Address:
37 1/2 PONCE DE LEON AVE
Provider Second Line Business Practice Location Address:
HOSPITAL AUXILIO MUTUO
Provider Business Practice Location Address City Name:
HATO REY
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00917-1104
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-758-2000
Provider Business Practice Location Address Fax Number:
787-771-7872
Provider Enumeration Date:
12/21/2005