Provider First Line Business Practice Location Address:
1451 ASHFORD AVE
Provider Second Line Business Practice Location Address:
ASHFORD PRESBYTERIAN HOSPITAL
Provider Business Practice Location Address City Name:
SAN JUAN
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00907
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-721-2116
Provider Business Practice Location Address Fax Number:
787-957-2563
Provider Enumeration Date:
06/27/2006