Provider First Line Business Practice Location Address:
AVENIDA SEVERIANO CUEVAS # 18
Provider Second Line Business Practice Location Address:
HOSPITAL BUEN SAMARITANO
Provider Business Practice Location Address City Name:
AGUADILLA
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00603
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-997-1655
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/26/2013