Provider First Line Business Practice Location Address:
AVE. LOS VETERANOS #3
Provider Second Line Business Practice Location Address:
GUAYAMA MEDICAL CENTER
Provider Business Practice Location Address City Name:
GUAYAMA
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00784
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-864-1012
Provider Business Practice Location Address Fax Number:
787-866-2125
Provider Enumeration Date:
08/09/2006