Provider First Line Business Practice Location Address:
CENTRO DE RECUPERACION DE SAN JUAN-ASSMCA
Provider Second Line Business Practice Location Address:
CALLE ESMIRNA
Provider Business Practice Location Address City Name:
SAN JUAN
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00920
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-793-1550
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/20/2018