Provider First Line Business Practice Location Address:
AVENUE SEVERIANO CUEVAS 18
Provider Second Line Business Practice Location Address:
HOSPITAL BUEN SAMARITANO GROUND FLOOR
Provider Business Practice Location Address City Name:
AGUADILLA
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00605-9026
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-997-0101
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/19/2011