Provider First Line Business Practice Location Address:
ROAD #2 KM 174.3 INTERIOR BO CAIN ALTO
Provider Second Line Business Practice Location Address:
HOSPITAL DE LA CONCEPCION
Provider Business Practice Location Address City Name:
SAN GERMAN
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00683
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-892-1860
Provider Business Practice Location Address Fax Number:
787-892-6465
Provider Enumeration Date:
11/11/2005