Provider First Line Business Practice Location Address:
ANEXO HOSPITAL BUEN SASMARITANO
Provider Second Line Business Practice Location Address:
CENTRO DE METADONA DE AGUADILLA
Provider Business Practice Location Address City Name:
AGUADILLA
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00605-4056
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-891-2360
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/06/2007