Provider First Line Business Practice Location Address:
CENTRO CARDIOVASCULAR DE PUERTO RICO Y EL CARIBE
Provider Second Line Business Practice Location Address:
SUITE 8 B
Provider Business Practice Location Address City Name:
SAN JUAN
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00936-6528
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-771-3040
Provider Business Practice Location Address Fax Number:
787-771-3044
Provider Enumeration Date:
08/23/2005