Provider First Line Business Practice Location Address:
176 CALLE JOSE C VAZQUEZ BO CAONILLAS
Provider Second Line Business Practice Location Address:
ANTIGUO HOSPIMEDICA
Provider Business Practice Location Address City Name:
AIBONITO
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00705-3309
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-337-9792
Provider Business Practice Location Address Fax Number:
787-337-4005
Provider Enumeration Date:
06/05/2007