Provider First Line Business Practice Location Address: 
HOSPITAL MUNICIPAL DE SAN JUAN
    Provider Second Line Business Practice Location Address: 
CENTRO MEDICO, BO MONACILLO
    Provider Business Practice Location Address City Name: 
SAN JUAN
    Provider Business Practice Location Address State Name: 
PR
    Provider Business Practice Location Address Postal Code: 
00935-0001
    Provider Business Practice Location Address Country Code: 
US
    Provider Business Practice Location Address Telephone Number: 
787-480-2700
    Provider Business Practice Location Address Fax Number: 
    Provider Enumeration Date: 
01/28/2015