Provider First Line Business Practice Location Address:
CALLE 21
Provider Second Line Business Practice Location Address:
SUITE 106 METROPOLITAN HOSPITAL
Provider Business Practice Location Address City Name:
RIO PIEDRAS
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00921
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-792-6480
Provider Business Practice Location Address Fax Number:
787-783-0015
Provider Enumeration Date:
01/23/2007