Provider First Line Business Practice Location Address:
SAN JUAN HEALTH CENTRE, SUITE 610
Provider Second Line Business Practice Location Address:
200 DE DIEGO AVE.
Provider Business Practice Location Address City Name:
SANTURCE
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00907-2318
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-723-1674
Provider Business Practice Location Address Fax Number:
787-721-1684
Provider Enumeration Date:
06/07/2006