Provider First Line Business Practice Location Address:
HOSPITAL PAVIA
Provider Second Line Business Practice Location Address:
CALLE AFIA #1462 LA PARADA #22
Provider Business Practice Location Address City Name:
SAN JUAN
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00910
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-642-6100
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/25/2007