Provider First Line Business Practice Location Address:
715 AVE PONCE DE LEON
Provider Second Line Business Practice Location Address:
HOSPITAL AUXILIO MUTUO
Provider Business Practice Location Address City Name:
HATO REY
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00919
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-671-2766
Provider Business Practice Location Address Fax Number:
787-746-8277
Provider Enumeration Date:
07/06/2006