Provider First Line Business Practice Location Address:
RECINTO DE CIENCIAS MEDICAS EDIFICIO PRINCIPAL
Provider Second Line Business Practice Location Address:
DEPARTAMENTO DE CIRUGIA FLOOR 9 OFFICE A923
Provider Business Practice Location Address City Name:
SAN JUAN
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00925
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-765-5184
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/28/2019